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Obras vencedoras da Edição 2017 Publicadas no Journal of Refractive Surgery


Cited in MEDLINE/PubMed

JANUARY 2017

Refractive Surgery ®

Visual Outcomes Between Wavefront-optimized and Topography-guided Ablation Profiles in Contralateral Eyes With Myopia OCT Study of the Femtosecond Laser Opaque Bubble Layer Effectiveness of an Eyelid Thermal Pulsation Procedure for Dry Eye Symptoms Repeated Cross-linking Does Not Provide Any Additional Biomechanical Stiffness in the Mouse Cornea In Vivo

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Journal of

Refractive Surgery ®

SLACK Incorporated Senior Vice President Stephanie Arasim Portnoy EDITORIAL Vice President/Editorial Jennifer A. Kilpatrick, ELS Editorial Director Karen G. Stanwood, ELS Executive Editor Eileen C. Anderer, ELS Assistant Editor Lisa Anderson Senior Peer Review Coordinator Sheryl Croce SALES National Account Manager Jaimie Byers Sales Specialist Ann Marie Haley Advertising Sales Administrator, Recruitment Joyce Seville Reprints/EPrints Wright’s Media Licensing Opportunities 1-877-652-5295 MARKETING AND DESIGN Vice President/Marketing Michelle Gatt Creative Director Thomas Cavallaro Circulation Manager John Kain The Wyanoke Group President Peter N. Slack Chief Operating Officer John C. Carter Executive Vice President Richard N. Roash Chief Financial Officer Darrell Blood Chief Technology Officer Linda Baker Senior Vice President Denise Mealey

Miradas de miradas (Glances of glances) Maryla Dabrowska 100 x 100 cm, mixed technique on metacrylate This artwork displays a surgeon surrounded by different sets of eyes. The eyes can be seen but are blurred. It is the goal of the surgeon to provide the sight that these eyes need to help the people and to make them visually effective. Hope and happiness for the future are depicted and felt when observing this painting. This famous local artist from Alicante is of Polish origin but fully educated in Spain. She frequently portrays humanitarian themes by recreating an existing figure or a new idea that is displayed by a person observing the scene. She is a very intimistic person and is extremely interested in visually handicapped people. This artwork received an Honorific Mention by the Fundación Jorge Alió for the best composition. Description by Jorge L. Alió

JOURNAL OF REFRACTIVE SURGERY (ISSN1081-597X; Canadian BN #129780466RT) is published monthly by SLACK Incorporated, 6900 Grove Road, Thorofare, NJ 08086. Telephone 856-848-1000. Fax 856-848-6091. Copyright 2017 by SLACK Incorporated. All rights reserved. No part of this publication may be reproduced without prior written consent of the publisher. Printed in USA. Permission requests to copy or reuse material published herein are directed to the Request Permissions link on every article page at Healio.com/JRS. Readers with queries about the Journal’s policies on error correction, version control, journal of record, ancillary material, or archiving should contact jrs@healio.com. The Journal staff have no financial relationships to disclose. Financial disclosures for the Editor and members of the Editorial Board are on file with the editorial office. Subscription rates in the US and possessions: One year-print: $298.00, electronic only: $265.00; Institutional: One year: $499.00; Canada: add 5% GST tax to total subscription price; Outside US add $66.00 each year, delivered by air service. Resident and Fellow rate in the US: $140.00 (a letter of certification from the institution indicating residency/fellowship of the subscriber is required). Single copies of current issues may be obtained for $63.00. Subscriptions to the Journal of Refractive Surgery are included in the membership dues for the ISRS. Subscription requests should be addressed to the publisher. Change of address. Notice should be sent to the publisher six weeks in advance of effective date. Include old and new addresses with zip codes. The publisher cannot accept responsibility for undelivered copies. Postmaster: Send change of address to the Journal of Refractive Surgery, 6900 Grove Road, Thorofare, NJ 08086. Periodicals Class Postage Paid at Thorofare, NJ 08086 and at additional mailing offices. Responsibility for statements. The publication of advertising in the Journal does not constitute any guarantee or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated of the advertised product or service or of claims made by the advertiser. See web site for print and web advertising policy. The publication of articles and other editorial material in the Journal does not represent the policy or recommendations of, or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated.

Follow JRSJournal

The “Miradas” competition was created by Jorge Alió, Journal of Refractive Surgery Editorial Board Member, and his wife, Maria Lopez, in 1998 with the intention of using artistic sensibility to bring society’s attention to the phenomenon of sight, vision, and blindness. “Miradas,” which means glances, is a contest in which artists from Spain and several Latin American countries submit paintings dealing with the topic of sight and the prevention of blindness. Each cover of the Journal of Refractive Surgery features paintings that were submitted to this competition. “Miradas” is sponsored by Schwind Eye-Tech-Solutions. For more information, contact www.fundacionalio.com

SLACK Incorporated 6900 GROVE ROAD THOROFARE, NJ 08086-9447 Healio.com/JRS


Cited in MEDLINE/PubMed

JANUARY 2018

Refractive Surgery

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Femtosecond Lenticule Extraction (FLEx) for Spherocylindrical Hyperopia Using New Profiles Autorefraction Versus Manifest Refraction in Patients With Keratoconus Changes in Corneal Biomechanical Properties With Different CXL Irradiances

Published for the Society by


Journal of

Refractive Surgery ®

SLACK Incorporated Senior Vice President Stephanie Arasim Portnoy EDITORIAL Vice President/Editorial Jennifer A. Kilpatrick, ELS Editorial Director Karen G. Stanwood, ELS Executive Editor Eileen C. Anderer, ELS Assistant Editor Sheena Kailian Senior Peer Review Coordinator Sheryl Croce SALES National Account Manager Tara Kosmowsky Advertising Sales Joyce Seville Administrator Sales Coordinator, Jennifer Carroll Recruitment Reprints/EPrints Wright’s Media Licensing Opportunities 1-877-652-5295 MARKETING AND DESIGN Vice President/Marketing Michelle Gatt Creative Director Thomas Cavallaro Circulation Manager John Kain The Wyanoke Group President Peter N. Slack Chief Operating Officer John C. Carter Executive Vice President Richard N. Roash Chief Financial Officer Darrell Blood Chief Technology Officer Linda Baker Senior Vice President Denise Mealey

Miradas de Ayer, Miradas de Mañana (Glances From Yesterday, Glances for Tomorrow) Kelly Arrontes Acrylic and oil on canvas, 150 × 175 cm This colorful artwork shows the positive image of two elderly people who are looking at the observer. They share with you their happiness with the present, coming from the many years in which they have been together. They expect you to share this happiness and offer a model to follow in your own life to achieve a similarly happy personal life. The whole environment is positive and magic and timeless. Kelly Arrontes is both a classical and a disruptive artist from Barcelona who has followed a mainly didactic education. She has shown her artwork in a number of exhibitions, receiving important awards and honorary nominations, especially from the media. She calls her artwork mute poetry and tries to express the feelings and the mood of the subjects in different environments, always using innovative and impressive artwork designs. This artwork expresses well the recent evolution of her artwork.

Description by Jorge L. Alió

JOURNAL OF REFRACTIVE SURGERY (ISSN1081-597X; Canadian BN #129780466RT) is published monthly by SLACK Incorporated, 6900 Grove Road, Thorofare, NJ 08086. Telephone 856-848-1000. Fax 856-848-6091. Copyright 2018 by SLACK Incorporated. All rights reserved. No part of this publication may be reproduced without prior written consent of the publisher. Printed in USA. Permission requests to copy or reuse material published herein are directed to the Request Permissions link on every article page at Healio.com/JRS. Readers with queries about the Journal’s policies on error correction, version control, journal of record, ancillary material, or archiving should contact jrs@healio.com. The Journal staff have no financial relationships to disclose. Financial disclosures for the Editor and members of the Editorial Board are on file with the editorial office. Subscription rates in the US and possessions: One year-print: $307.00, electronic only: $273.00; Institutional: One year: $524.00; Canada: add 5% GST tax to total subscription price; Outside US add $68.00 each year, delivered by air service. Resident and Fellow rate in the US: $153.00 (a letter of certification from the institution indicating residency/fellowship of the subscriber is required). Single copies of current issues may be obtained for $66.00. Subscriptions to the Journal of Refractive Surgery are included in the membership dues for the ISRS. Subscription requests should be addressed to the publisher. Change of address. Notice should be sent to the publisher six weeks in advance of effective date. Include old and new addresses with zip codes. The publisher cannot accept responsibility for undelivered copies. Postmaster: Send change of address to the Journal of Refractive Surgery, 6900 Grove Road, Thorofare, NJ 08086. Periodicals Class Postage Paid at Thorofare, NJ 08086 and at additional mailing offices. Responsibility for statements. The publication of advertising in the Journal does not constitute any guarantee or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated of the advertised product or service or of claims made by the advertiser. See web site for print and web advertising policy. The publication of articles and other editorial material in the Journal does not represent the policy or recommendations of, or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated.

Follow JRSJournal

The “Miradas” competition was created by Jorge Alió, Journal of Refractive Surgery Editorial Board Member, and his wife, Maria Lopez, in 1998 with the intention of using artistic sensibility to bring society’s attention to the phenomenon of sight, vision, and blindness. “Miradas,” which means glances, is a contest in which artists from Spain and several Latin American countries submit paintings dealing with the topic of sight and the prevention of blindness. Each cover of the Journal of Refractive Surgery features paintings that were submitted to this competition. “Miradas” is sponsored by Schwind Eye-Tech-Solutions. For more information, contact www.fundacionalio.com

SLACK Incorporated 6900 GROVE ROAD THOROFARE, NJ 08086-9447 Healio.com/JRS


Cited in MEDLINE/PubMed

FEBRUARY 2017

Refractive Surgery ®

Laser-Assisted Capsulotomy Centration: A Prospective Trial Comparing Pupil and OCT-Based Scanned Capsule Centration An Algorithm to Predict the Biomechanical Stiffening Effect in Corneal Cross-linking LASIK Enhancement: Clinical and Surgical Management

Published for the Society by

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Journal of

Refractive Surgery ®

SLACK Incorporated Senior Vice President Stephanie Arasim Portnoy EDITORIAL Vice President/Editorial Jennifer A. Kilpatrick, ELS Editorial Director Karen G. Stanwood, ELS Executive Editor Eileen C. Anderer, ELS Assistant Editor Lisa Anderson Senior Peer Review Coordinator Sheryl Croce SALES National Account Manager Jaimie Byers Sales Specialist Ann Marie Haley Advertising Sales Administrator, Recruitment Joyce Seville Reprints/EPrints Wright’s Media Licensing Opportunities 1-877-652-5295 MARKETING AND DESIGN Vice President/Marketing Michelle Gatt Creative Director Thomas Cavallaro Circulation Manager John Kain The Wyanoke Group President Peter N. Slack Chief Operating Officer John C. Carter Executive Vice President Richard N. Roash Chief Financial Officer Darrell Blood Chief Technology Officer Linda Baker Senior Vice President Denise Mealey

Distorsión (Distortion) Carmen Sáez Navarro 100 x 70 cm, oil on board The artist is inviting the observer to perceive the distortion that exists between individual personality and the masses. This artwork transmits movement but also distortion. The person is disorientated in the crowd and is depicted as a kind of white ghost. Movement is around him but he is static. The introspection of the figure and his inability to decide where to go are evident in this painting. This painting was the subject of the Fundación Jorge Alió award for the best Fine Arts student participating in Miradas. The artist is a senior student of Fine Art at the University Miguel Hernandez. Even though he is in his early artistic career, he plays with movements, figures, and perspectives in a masterful way. He has not yet had major exhibitions or any artwork in collections. He has great promise in the area of fine art. Description by Jorge L. Alió

JOURNAL OF REFRACTIVE SURGERY (ISSN1081-597X; Canadian BN #129780466RT) is published monthly by SLACK Incorporated, 6900 Grove Road, Thorofare, NJ 08086. Telephone 856-848-1000. Fax 856-848-6091. Copyright 2017 by SLACK Incorporated. All rights reserved. No part of this publication may be reproduced without prior written consent of the publisher. Printed in USA. Permission requests to copy or reuse material published herein are directed to the Request Permissions link on every article page at Healio.com/JRS. Readers with queries about the Journal’s policies on error correction, version control, journal of record, ancillary material, or archiving should contact jrs@healio.com. The Journal staff have no financial relationships to disclose. Financial disclosures for the Editor and members of the Editorial Board are on file with the editorial office. Subscription rates in the US and possessions: One year-print: $298.00, electronic only: $265.00; Institutional: One year: $499.00; Canada: add 5% GST tax to total subscription price; Outside US add $66.00 each year, delivered by air service. Resident and Fellow rate in the US: $140.00 (a letter of certification from the institution indicating residency/fellowship of the subscriber is required). Single copies of current issues may be obtained for $63.00. Subscriptions to the Journal of Refractive Surgery are included in the membership dues for the ISRS. Subscription requests should be addressed to the publisher. Change of address. Notice should be sent to the publisher six weeks in advance of effective date. Include old and new addresses with zip codes. The publisher cannot accept responsibility for undelivered copies. Postmaster: Send change of address to the Journal of Refractive Surgery, 6900 Grove Road, Thorofare, NJ 08086. Periodicals Class Postage Paid at Thorofare, NJ 08086 and at additional mailing offices. Responsibility for statements. The publication of advertising in the Journal does not constitute any guarantee or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated of the advertised product or service or of claims made by the advertiser. See web site for print and web advertising policy. The publication of articles and other editorial material in the Journal does not represent the policy or recommendations of, or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated.

Follow JRSJournal

The “Miradas” competition was created by Jorge Alió, Journal of Refractive Surgery Editorial Board Member, and his wife, Maria Lopez, in 1998 with the intention of using artistic sensibility to bring society’s attention to the phenomenon of sight, vision, and blindness. “Miradas,” which means glances, is a contest in which artists from Spain and several Latin American countries submit paintings dealing with the topic of sight and the prevention of blindness. Each cover of the Journal of Refractive Surgery features paintings that were submitted to this competition. “Miradas” is sponsored by Schwind Eye-Tech-Solutions. For more information, contact www.fundacionalio.com

SLACK Incorporated 6900 GROVE ROAD THOROFARE, NJ 08086-9447 Healio.com/JRS


Cited in MEDLINE/PubMed

FEBRUARY 2018

Refractive Surgery ®

Analysis of Accommodative Performance of a New Accommodative IOL Rotational Stability of IOLs With Different Surface Treatment Intraoperative Patient Experience and Postoperative Visual Quality After SMILE and LASIK

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Journal of

Refractive Surgery ®

SLACK Incorporated Senior Vice President Stephanie Arasim Portnoy EDITORIAL Vice President/Editorial Jennifer A. Kilpatrick, ELS Editorial Director Karen G. Stanwood, ELS Executive Editor Eileen C. Anderer, ELS Assistant Editor Sheena Kailian Senior Peer Review Coordinator Sheryl Croce SALES National Account Manager Tara Kosmowsky Advertising Sales Joyce Seville Administrator Sales Coordinator, Jennifer Carroll Recruitment Reprints/EPrints Wright’s Media Licensing Opportunities 1-877-652-5295 MARKETING AND DESIGN Vice President/Marketing Michelle Gatt Creative Director Thomas Cavallaro Circulation Manager John Kain The Wyanoke Group President Peter N. Slack Chief Operating Officer John C. Carter Executive Vice President Richard N. Roash Chief Financial Officer Darrell Blood Chief Technology Officer Linda Baker Senior Vice President Denise Mealey

Mirame (Look at Me) Jose Benitez 50 x 70 cm, oil on canvas A young girl is looking at us through a metallic fence. She has her eyes wide open. She is looking at us through a barrier through which her vision can penetrate but not her physical body. Her spirit is with us, she is looking at us, seeing us. She is understanding us. We can understand her, how lonesome she is, how captive she is, but neither she nor we can move. We do not need to talk, we can understand each other. Her look is the key to our hearts and to our souls in this mutual understanding. Jose Benitez is a Spanish artist educated internationally and living now in London. His artwork has been shown in many exhibitions in Europe, and especially in Switzerland. He claims to be autodidactic, finding different ways of expression. His artwork has been the subject of several painting awards. This artwork is in black and white and corresponds to the last one chosen from his selection. Description by Jorge L. Alió

JOURNAL OF REFRACTIVE SURGERY (ISSN1081-597X; Canadian BN #129780466RT) is published monthly by SLACK Incorporated, 6900 Grove Road, Thorofare, NJ 08086. Telephone 856-848-1000. Fax 856-848-6091. Copyright 2018 by SLACK Incorporated. All rights reserved. No part of this publication may be reproduced without prior written consent of the publisher. Printed in USA. Permission requests to copy or reuse material published herein are directed to the Request Permissions link on every article page at Healio.com/JRS. Readers with queries about the Journal’s policies on error correction, version control, journal of record, ancillary material, or archiving should contact jrs@healio.com. The Journal staff have no financial relationships to disclose. Financial disclosures for the Editor and members of the Editorial Board are on file with the editorial office. Subscription rates in the US and possessions: One year-print: $307.00, electronic only: $273.00; Institutional: One year: $524.00; Canada: add 5% GST tax to total subscription price; Outside US add $68.00 each year, delivered by air service. Resident and Fellow rate in the US: $153.00 (a letter of certification from the institution indicating residency/fellowship of the subscriber is required). Single copies of current issues may be obtained for $66.00. Subscriptions to the Journal of Refractive Surgery are included in the membership dues for the ISRS. Subscription requests should be addressed to the publisher. Change of address. Notice should be sent to the publisher six weeks in advance of effective date. Include old and new addresses with zip codes. The publisher cannot accept responsibility for undelivered copies. Postmaster: Send change of address to the Journal of Refractive Surgery, 6900 Grove Road, Thorofare, NJ 08086. Periodicals Class Postage Paid at Thorofare, NJ 08086 and at additional mailing offices. Responsibility for statements. The publication of advertising in the Journal does not constitute any guarantee or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated of the advertised product or service or of claims made by the advertiser. See web site for print and web advertising policy. The publication of articles and other editorial material in the Journal does not represent the policy or recommendations of, or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated.

Follow JRSJournal

The “Miradas” competition was created by Jorge Alió, Journal of Refractive Surgery Editorial Board Member, and his wife, Maria Lopez, in 1998 with the intention of using artistic sensibility to bring society’s attention to the phenomenon of sight, vision, and blindness. “Miradas,” which means glances, is a contest in which artists from Spain and several Latin American countries submit paintings dealing with the topic of sight and the prevention of blindness. Each cover of the Journal of Refractive Surgery features paintings that were submitted to this competition. “Miradas” is sponsored by Schwind Eye-Tech-Solutions. For more information, contact www.fundacionalio.com

SLACK Incorporated 6900 GROVE ROAD THOROFARE, NJ 08086-9447 Healio.com/JRS


Cited in MEDLINE/PubMed

MARCH 2017

Refractive Surgery ®

Extended Depth of Focus IOLs: The Next Chapter in Refractive Technology? SMILE for Hyperopia: Optical Zone Centration Why Non-contact Tonometry Tests Cannot Evaluate the Effects of Corneal Collagen Cross-linking Phototherapeutic Keratectomy: Science and Art

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Journal of

Refractive Surgery ®

SLACK Incorporated Senior Vice President Stephanie Arasim Portnoy EDITORIAL Vice President/Editorial Jennifer A. Kilpatrick, ELS Editorial Director Karen G. Stanwood, ELS Executive Editor Eileen C. Anderer, ELS Assistant Editor Lisa Anderson Senior Peer Review Coordinator Sheryl Croce SALES National Account Manager Jaimie Byers Sales Specialist Joyce Seville Advertising Sales Administrator, Recruitment Jennifer Carroll Reprints/EPrints Wright’s Media Licensing Opportunities 1-877-652-5295 MARKETING AND DESIGN Vice President/Marketing Michelle Gatt Creative Director Thomas Cavallaro Circulation Manager John Kain The Wyanoke Group President Peter N. Slack Chief Operating Officer John C. Carter Executive Vice President Richard N. Roash Chief Financial Officer Darrell Blood Chief Technology Officer Linda Baker Senior Vice President Denise Mealey

RTP XV modelo pintado a 1 m y 55 cm (RTP XV model person painted at 1 m 55 cm) Natan Tarragó Terradellas 100 x 81 cm, oil on canvas A person is portrayed here at a near distance (1 m 55 cm). The artist shows in a realistic format how he can see this person from his disease (retinitis pigmentosa). Although some colors are faded, the main colors are still present in the painting. The painting generally transmits the feeling of visual loss and the stimulus of overcoming the loss by talent and education. This artwork received the award for the best visually handicapped painter by the Fundación Jorge Alió 2016. The artist is a severely handicapped person affected by retinitis pigmentosa. His vision, assisted by low vision aids, reaches 1 m 55 cm as optimal. The artist, who has basically received autodidactic artistic training, is showing one of his models (probably another visually handicapped person) as he is able to see him. It is remarkable that the artist did not use low vision aids to do this artwork. Description by Jorge L. Alió

JOURNAL OF REFRACTIVE SURGERY (ISSN1081-597X; Canadian BN #129780466RT) is published monthly by SLACK Incorporated, 6900 Grove Road, Thorofare, NJ 08086. Telephone 856-848-1000. Fax 856-848-6091. Copyright 2017 by SLACK Incorporated. All rights reserved. No part of this publication may be reproduced without prior written consent of the publisher. Printed in USA. Permission requests to copy or reuse material published herein are directed to the Request Permissions link on every article page at Healio.com/JRS. Readers with queries about the Journal’s policies on error correction, version control, journal of record, ancillary material, or archiving should contact jrs@healio.com. The Journal staff have no financial relationships to disclose. Financial disclosures for the Editor and members of the Editorial Board are on file with the editorial office. Subscription rates in the US and possessions: One year-print: $298.00, electronic only: $265.00; Institutional: One year: $499.00; Canada: add 5% GST tax to total subscription price; Outside US add $66.00 each year, delivered by air service. Resident and Fellow rate in the US: $140.00 (a letter of certification from the institution indicating residency/fellowship of the subscriber is required). Single copies of current issues may be obtained for $63.00. Subscriptions to the Journal of Refractive Surgery are included in the membership dues for the ISRS. Subscription requests should be addressed to the publisher. Change of address. Notice should be sent to the publisher six weeks in advance of effective date. Include old and new addresses with zip codes. The publisher cannot accept responsibility for undelivered copies. Postmaster: Send change of address to the Journal of Refractive Surgery, 6900 Grove Road, Thorofare, NJ 08086. Periodicals Class Postage Paid at Thorofare, NJ 08086 and at additional mailing offices. Responsibility for statements. The publication of advertising in the Journal does not constitute any guarantee or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated of the advertised product or service or of claims made by the advertiser. See web site for print and web advertising policy. The publication of articles and other editorial material in the Journal does not represent the policy or recommendations of, or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated.

Follow JRSJournal

The “Miradas” competition was created by Jorge Alió, Journal of Refractive Surgery Editorial Board Member, and his wife, Maria Lopez, in 1998 with the intention of using artistic sensibility to bring society’s attention to the phenomenon of sight, vision, and blindness. “Miradas,” which means glances, is a contest in which artists from Spain and several Latin American countries submit paintings dealing with the topic of sight and the prevention of blindness. Each cover of the Journal of Refractive Surgery features paintings that were submitted to this competition. “Miradas” is sponsored by Schwind Eye-Tech-Solutions. For more information, contact www.fundacionalio.com

SLACK Incorporated 6900 GROVE ROAD THOROFARE, NJ 08086-9447 Healio.com/JRS


Cited in MEDLINE/PubMed

APRIL 2017

Refractive Surgery

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Standard for Reporting Refractive Outcomes of IOL-Based Refractive Surgery Near Vision Enhancement With PEARL Corneal Inlay Using a SMILE Lenticule Evaluation of the True Wavefront Aberrations in Eyes Implanted With a Rotationally Asymmetric Multifocal IOL

Published for the Society by


Journal of

Refractive Surgery ®

SLACK Incorporated Senior Vice President Stephanie Arasim Portnoy EDITORIAL Vice President/Editorial Jennifer A. Kilpatrick, ELS Editorial Director Karen G. Stanwood, ELS Executive Editor Eileen C. Anderer, ELS Assistant Editor Sheena Kailian Senior Peer Review Coordinator Sheryl Croce SALES National Account Manager Jaimie Byers Sales Specialist Joyce Seville Advertising Sales Administrator, Recruitment Jennifer Carroll Reprints/EPrints Wright’s Media Licensing Opportunities 1-877-652-5295 MARKETING AND DESIGN Vice President/Marketing Michelle Gatt Creative Director Thomas Cavallaro Circulation Manager John Kain The Wyanoke Group President Peter N. Slack Chief Operating Officer John C. Carter Executive Vice President Richard N. Roash Chief Financial Officer Darrell Blood Chief Technology Officer Linda Baker Senior Vice President Denise Mealey

El Estupor y la Maravilla (Amazement and Wonder) Carolina Ferrer Juan 100 x 145 cm, mixed technique on aluminium The painting shows an anonymous observer looking at a vision chart illuminated in warm colors. The observer is shown in three perspectives (back, front, and side) and it seems that the light is coming from different directions. This artwork translates the subjectivity of the glance and how vision can be measured and understood, but always from the perception of the observer. The artist tries to go beyond the vision chart to show that the meaning of what we see depends on the point of view of the observer. Carolina Ferrer Juan is a young innovative artist who uses different techniques, colors, and backgrounds to provide a new way to see reality coming from what could be called realistic dreaming. She has been in a number of exhibitions on innovative painting techniques. This artwork reflects the evolution of this young artist at this moment. Description by Jorge L. Alió

JOURNAL OF REFRACTIVE SURGERY (ISSN1081-597X; Canadian BN #129780466RT) is published monthly by SLACK Incorporated, 6900 Grove Road, Thorofare, NJ 08086. Telephone 856-848-1000. Fax 856-848-6091. Copyright 2017 by SLACK Incorporated. All rights reserved. No part of this publication may be reproduced without prior written consent of the publisher. Printed in USA. Permission requests to copy or reuse material published herein are directed to the Request Permissions link on every article page at Healio.com/JRS. Readers with queries about the Journal’s policies on error correction, version control, journal of record, ancillary material, or archiving should contact jrs@healio.com. The Journal staff have no financial relationships to disclose. Financial disclosures for the Editor and members of the Editorial Board are on file with the editorial office. Subscription rates in the US and possessions: One year-print: $298.00, electronic only: $265.00; Institutional: One year: $499.00; Canada: add 5% GST tax to total subscription price; Outside US add $66.00 each year, delivered by air service. Resident and Fellow rate in the US: $140.00 (a letter of certification from the institution indicating residency/fellowship of the subscriber is required). Single copies of current issues may be obtained for $63.00. Subscriptions to the Journal of Refractive Surgery are included in the membership dues for the ISRS. Subscription requests should be addressed to the publisher. Change of address. Notice should be sent to the publisher six weeks in advance of effective date. Include old and new addresses with zip codes. The publisher cannot accept responsibility for undelivered copies. Postmaster: Send change of address to the Journal of Refractive Surgery, 6900 Grove Road, Thorofare, NJ 08086. Periodicals Class Postage Paid at Thorofare, NJ 08086 and at additional mailing offices. Responsibility for statements. The publication of advertising in the Journal does not constitute any guarantee or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated of the advertised product or service or of claims made by the advertiser. See web site for print and web advertising policy. The publication of articles and other editorial material in the Journal does not represent the policy or recommendations of, or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated.

Follow JRSJournal

The “Miradas” competition was created by Jorge Alió, Journal of Refractive Surgery Editorial Board Member, and his wife, Maria Lopez, in 1998 with the intention of using artistic sensibility to bring society’s attention to the phenomenon of sight, vision, and blindness. “Miradas,” which means glances, is a contest in which artists from Spain and several Latin American countries submit paintings dealing with the topic of sight and the prevention of blindness. Each cover of the Journal of Refractive Surgery features paintings that were submitted to this competition. “Miradas” is sponsored by Schwind Eye-Tech-Solutions. For more information, contact www.fundacionalio.com

SLACK Incorporated 6900 GROVE ROAD THOROFARE, NJ 08086-9447 Healio.com/JRS


Cited in MEDLINE/PubMed

MAY 2017

Refractive Surgery ®

Customized Topography-Guided CXL for Keratoconus Clinical Outcomes of SMILE and Wavefront-Guided LASIK in Low and Moderate Myopia Topography-Guided LASIK Versus SMILE for Myopia and Myopic Astigmatism

Published for the Society by

ACCESS FULL TEXT at Healio.com/JRS


Journal of

Refractive Surgery ®

SLACK Incorporated Senior Vice President Stephanie Arasim Portnoy EDITORIAL Vice President/Editorial Jennifer A. Kilpatrick, ELS Editorial Director Karen G. Stanwood, ELS Executive Editor Eileen C. Anderer, ELS Assistant Editor Sheena Kailian Senior Peer Review Coordinator Sheryl Croce SALES National Account Manager Jaimie Byers Sales Specialist Joyce Seville Advertising Sales Administrator, Recruitment Jennifer Carroll Reprints/EPrints Wright’s Media Licensing Opportunities 1-877-652-5295 MARKETING AND DESIGN Vice President/Marketing Michelle Gatt Creative Director Thomas Cavallaro Circulation Manager John Kain The Wyanoke Group President Peter N. Slack Chief Operating Officer John C. Carter Executive Vice President Richard N. Roash Chief Financial Officer Darrell Blood Chief Technology Officer Linda Baker Senior Vice President Denise Mealey

Ver – Mirar – Observar (See, Look, Observe) Jose Palao-Garcia 76 × 708 cm, pen on prepared board This intimate painting shows the face of a child looking through the protection of a balustrade. In infancy, we are protected by our family and our parents while we observe and we glance toward the future with apprehension and lack of confidence. Interestingly, the child is not scared or surprised, but rather he is intrigued about the future. Intimacy, the silence of the glance, the deep communication of the child, and the naïve appearance of the painting highlight all of the small details of this painting, making it realistic and extremely intimate. The first glance of a child toward the future from the protection of home is the symbolic message of this artwork. Jose Palao-Garcia is a local artist who has a longstanding personal history in painting in Alicante. He has had several local and national exhibitions, and recently his artwork has been appreciated in European countries such as Italy. His artwork expresses his talent in drawing and the delicacy of his artwork. Usually, he is involved in simple techniques with a huge expressivity and sensitivity using minimally expressive techniques. Description by Jorge L. Alió

JOURNAL OF REFRACTIVE SURGERY (ISSN1081-597X; Canadian BN #129780466RT) is published monthly by SLACK Incorporated, 6900 Grove Road, Thorofare, NJ 08086. Telephone 856-848-1000. Fax 856-848-6091. Copyright 2017 by SLACK Incorporated. All rights reserved. No part of this publication may be reproduced without prior written consent of the publisher. Printed in USA. Permission requests to copy or reuse material published herein are directed to the Request Permissions link on every article page at Healio.com/JRS. Readers with queries about the Journal’s policies on error correction, version control, journal of record, ancillary material, or archiving should contact jrs@healio.com. The Journal staff have no financial relationships to disclose. Financial disclosures for the Editor and members of the Editorial Board are on file with the editorial office. Subscription rates in the US and possessions: One year-print: $298.00, electronic only: $265.00; Institutional: One year: $499.00; Canada: add 5% GST tax to total subscription price; Outside US add $66.00 each year, delivered by air service. Resident and Fellow rate in the US: $140.00 (a letter of certification from the institution indicating residency/fellowship of the subscriber is required). Single copies of current issues may be obtained for $63.00. Subscriptions to the Journal of Refractive Surgery are included in the membership dues for the ISRS. Subscription requests should be addressed to the publisher. Change of address. Notice should be sent to the publisher six weeks in advance of effective date. Include old and new addresses with zip codes. The publisher cannot accept responsibility for undelivered copies. Postmaster: Send change of address to the Journal of Refractive Surgery, 6900 Grove Road, Thorofare, NJ 08086. Periodicals Class Postage Paid at Thorofare, NJ 08086 and at additional mailing offices. Responsibility for statements. The publication of advertising in the Journal does not constitute any guarantee or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated of the advertised product or service or of claims made by the advertiser. See web site for print and web advertising policy. The publication of articles and other editorial material in the Journal does not represent the policy or recommendations of, or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated.

Follow JRSJournal

The “Miradas” competition was created by Jorge Alió, Journal of Refractive Surgery Editorial Board Member, and his wife, Maria Lopez, in 1998 with the intention of using artistic sensibility to bring society’s attention to the phenomenon of sight, vision, and blindness. “Miradas,” which means glances, is a contest in which artists from Spain and several Latin American countries submit paintings dealing with the topic of sight and the prevention of blindness. Each cover of the Journal of Refractive Surgery features paintings that were submitted to this competition. “Miradas” is sponsored by Schwind Eye-Tech-Solutions. For more information, contact www.fundacionalio.com

SLACK Incorporated 6900 GROVE ROAD THOROFARE, NJ 08086-9447 Healio.com/JRS


Cited in MEDLINE/PubMed

JUNE 2017

Refractive Surgery ®

Meta-analysis of FDA Reports on PatientReported Outcomes Using the Three Latest Platforms for LASIK Biomechanical Characterization of Subclinical Keratoconus Without Topographic or Tomographic Abnormalities Biomechanical Changes After LASIK Flap Creation With Rapid CXL With Brillouin Microscopy

Published for the Society by

ACCESS FULL TEXT at Healio.com/JRS


Journal of

Refractive Surgery ®

SLACK Incorporated Senior Vice President Stephanie Arasim Portnoy EDITORIAL Vice President/Editorial Jennifer A. Kilpatrick, ELS Editorial Director Karen G. Stanwood, ELS Executive Editor Eileen C. Anderer, ELS Assistant Editor Sheena Kailian Senior Peer Review Coordinator Sheryl Croce SALES National Account Manager Jaimie Byers Sales Specialist Joyce Seville Advertising Sales Administrator, Recruitment Jennifer Carroll Reprints/EPrints Wright’s Media Licensing Opportunities 1-877-652-5295 MARKETING AND DESIGN Vice President/Marketing Michelle Gatt Creative Director Thomas Cavallaro Circulation Manager John Kain The Wyanoke Group President Peter N. Slack Chief Operating Officer John C. Carter Executive Vice President Richard N. Roash Chief Financial Officer Darrell Blood Chief Technology Officer Linda Baker Senior Vice President Denise Mealey

La niña con los ojos velados (The girl with her eyes covered) Rafael Bestard-Mas 65 x 50 cm, oil on canvas This painting shows a girl in school uniform with her eyes covered. The background is gray and makes the girl seem as if she is floating in an unpleasant environment. The perception of vision is limited, which in turn limits her education. In addition, the girl might not desire to see. Either she rejects vision or her vision is limited. In either case, this influences her mood and her quality of life. Has she closed her vision from an unpleasant environment or has somebody led her to this situation? Does she want to see or not? The question and the sadness of this situation is floating in this realistic environment. Rafael Bestard-Mas is a consolidated artist who has developed a special talent for portraits. He has been the subject of a number of national and international awards, his artwork is in many Spanish private and public collections, and he has been educated in the Fine Art School of Barcelona.

Description by Jorge L. Alió

JOURNAL OF REFRACTIVE SURGERY (ISSN1081-597X; Canadian BN #129780466RT) is published monthly by SLACK Incorporated, 6900 Grove Road, Thorofare, NJ 08086. Telephone 856-848-1000. Fax 856-848-6091. Copyright 2017 by SLACK Incorporated. All rights reserved. No part of this publication may be reproduced without prior written consent of the publisher. Printed in USA. Permission requests to copy or reuse material published herein are directed to the Request Permissions link on every article page at Healio.com/JRS. Readers with queries about the Journal’s policies on error correction, version control, journal of record, ancillary material, or archiving should contact jrs@healio.com. The Journal staff have no financial relationships to disclose. Financial disclosures for the Editor and members of the Editorial Board are on file with the editorial office. Subscription rates in the US and possessions: One year-print: $298.00, electronic only: $265.00; Institutional: One year: $499.00; Canada: add 5% GST tax to total subscription price; Outside US add $66.00 each year, delivered by air service. Resident and Fellow rate in the US: $140.00 (a letter of certification from the institution indicating residency/fellowship of the subscriber is required). Single copies of current issues may be obtained for $63.00. Subscriptions to the Journal of Refractive Surgery are included in the membership dues for the ISRS. Subscription requests should be addressed to the publisher. Change of address. Notice should be sent to the publisher six weeks in advance of effective date. Include old and new addresses with zip codes. The publisher cannot accept responsibility for undelivered copies. Postmaster: Send change of address to the Journal of Refractive Surgery, 6900 Grove Road, Thorofare, NJ 08086. Periodicals Class Postage Paid at Thorofare, NJ 08086 and at additional mailing offices. Responsibility for statements. The publication of advertising in the Journal does not constitute any guarantee or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated of the advertised product or service or of claims made by the advertiser. See web site for print and web advertising policy. The publication of articles and other editorial material in the Journal does not represent the policy or recommendations of, or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated.

Follow JRSJournal

The “Miradas” competition was created by Jorge Alió, Journal of Refractive Surgery Editorial Board Member, and his wife, Maria Lopez, in 1998 with the intention of using artistic sensibility to bring society’s attention to the phenomenon of sight, vision, and blindness. “Miradas,” which means glances, is a contest in which artists from Spain and several Latin American countries submit paintings dealing with the topic of sight and the prevention of blindness. Each cover of the Journal of Refractive Surgery features paintings that were submitted to this competition. “Miradas” is sponsored by Schwind Eye-Tech-Solutions. For more information, contact www.fundacionalio.com

SLACK Incorporated 6900 GROVE ROAD THOROFARE, NJ 08086-9447 Healio.com/JRS


Cited in MEDLINE/PubMed

JULY 2017

Refractive Surgery ÂŽ

Integration of Scheimpflug-Based Corneal Tomography and Biomechanical Assessments for Enhancing Ectasia Detection Bean-shaped Ring Segments as a Capsule Enhancement Tool in Complex Bag-in-the-Lens IOL Implantation Medium- to Long-Term Results of CXL for Keratoconus Using PTK for Epithelial Removal and Partial Stromal Ablation Published for the Society by

ACCESS FULL TEXT at Healio.com/JRS


Journal of

Refractive Surgery ®

SLACK Incorporated Senior Vice President Stephanie Arasim Portnoy EDITORIAL Vice President/Editorial Jennifer A. Kilpatrick, ELS Editorial Director Karen G. Stanwood, ELS Executive Editor Eileen C. Anderer, ELS Assistant Editor Sheena Kailian Senior Peer Review Coordinator Sheryl Croce SALES National Account Manager Jaimie Byers Sales Specialist Joyce Seville Advertising Sales Administrator, Recruitment Jennifer Carroll Reprints/EPrints Wright’s Media Licensing Opportunities 1-877-652-5295 MARKETING AND DESIGN Vice President/Marketing Michelle Gatt Creative Director Thomas Cavallaro Circulation Manager John Kain The Wyanoke Group President Peter N. Slack Chief Operating Officer John C. Carter Executive Vice President Richard N. Roash Chief Financial Officer Darrell Blood Chief Technology Officer Linda Baker Senior Vice President Denise Mealey

Autorretrato (Self-portrait) Nayra Lopez Martos 100 x 100 cm, oil on canvas This artwork corresponds to a series called “Everyday Nudes” in which the artist reflects how we see ourselves in the mirror. She is reflected in the mirror in the early morning putting makeup on her eyes. Her eyes are the center of attention for the observer. The artwork is a hyperrealistic painting, extremely impressive in its details. Nayra Lopez Martos is a young but mature artist who has painted a series of artworks that represent the relevance of vision and the glance and everything that happens in the eyes of normal individuals. She tries to reflect what is important for people and the role that vision plays in everyday life. The meaning of vision is explained in her hyperrealistic paintings that immediately capture the attention of the observer. This artwork was the runner up to the Miradas International Award 2016, coming in second by only one vote by the 21 juries of the 21 countries of Miradas International. Description by Jorge L. Alió

JOURNAL OF REFRACTIVE SURGERY (ISSN1081-597X; Canadian BN #129780466RT) is published monthly by SLACK Incorporated, 6900 Grove Road, Thorofare, NJ 08086. Telephone 856-848-1000. Fax 856-848-6091. Copyright 2017 by SLACK Incorporated. All rights reserved. No part of this publication may be reproduced without prior written consent of the publisher. Printed in USA. Permission requests to copy or reuse material published herein are directed to the Request Permissions link on every article page at Healio.com/JRS. Readers with queries about the Journal’s policies on error correction, version control, journal of record, ancillary material, or archiving should contact jrs@healio.com. The Journal staff have no financial relationships to disclose. Financial disclosures for the Editor and members of the Editorial Board are on file with the editorial office. Subscription rates in the US and possessions: One year-print: $298.00, electronic only: $265.00; Institutional: One year: $499.00; Canada: add 5% GST tax to total subscription price; Outside US add $66.00 each year, delivered by air service. Resident and Fellow rate in the US: $140.00 (a letter of certification from the institution indicating residency/fellowship of the subscriber is required). Single copies of current issues may be obtained for $63.00. Subscriptions to the Journal of Refractive Surgery are included in the membership dues for the ISRS. Subscription requests should be addressed to the publisher. Change of address. Notice should be sent to the publisher six weeks in advance of effective date. Include old and new addresses with zip codes. The publisher cannot accept responsibility for undelivered copies. Postmaster: Send change of address to the Journal of Refractive Surgery, 6900 Grove Road, Thorofare, NJ 08086. Periodicals Class Postage Paid at Thorofare, NJ 08086 and at additional mailing offices. Responsibility for statements. The publication of advertising in the Journal does not constitute any guarantee or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated of the advertised product or service or of claims made by the advertiser. See web site for print and web advertising policy. The publication of articles and other editorial material in the Journal does not represent the policy or recommendations of, or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated.

Follow JRSJournal

The “Miradas” competition was created by Jorge Alió, Journal of Refractive Surgery Editorial Board Member, and his wife, Maria Lopez, in 1998 with the intention of using artistic sensibility to bring society’s attention to the phenomenon of sight, vision, and blindness. “Miradas,” which means glances, is a contest in which artists from Spain and several Latin American countries submit paintings dealing with the topic of sight and the prevention of blindness. Each cover of the Journal of Refractive Surgery features paintings that were submitted to this competition. “Miradas” is sponsored by Schwind Eye-Tech-Solutions. For more information, contact www.fundacionalio.com

SLACK Incorporated 6900 GROVE ROAD THOROFARE, NJ 08086-9447 Healio.com/JRS


Cited in MEDLINE/PubMed

AUGUST 2017

Refractive Surgery ®

Intraoperative Manual Cyclotorsion Compensation for Myopic Astigmatism in SMILE Corneal Biomechanics After Accelerated CXL: Comparison Between 18 and 9 mW/cm2 Protocols Effect of Crystalline Lens on Central Vault After ICL Implantation Lenticuloschisis Technique for Lenticule Extraction in SMILE

Published for the Society by

ACCESS FULL TEXT at Healio.com/JRS


Journal of

Refractive Surgery ®

SLACK Incorporated Senior Vice President Stephanie Arasim Portnoy EDITORIAL Vice President/Editorial Jennifer A. Kilpatrick, ELS Editorial Director Karen G. Stanwood, ELS Executive Editor Eileen C. Anderer, ELS Assistant Editor Sheena Kailian Senior Peer Review Coordinator Sheryl Croce SALES National Account Manager Jaimie Byers Sales Specialist Joyce Seville Advertising Sales Administrator, Recruitment Jennifer Carroll Reprints/EPrints Wright’s Media Licensing Opportunities 1-877-652-5295 MARKETING AND DESIGN Vice President/Marketing Michelle Gatt Creative Director Thomas Cavallaro Circulation Manager John Kain The Wyanoke Group President Peter N. Slack Chief Operating Officer John C. Carter Executive Vice President Richard N. Roash Chief Financial Officer Darrell Blood Chief Technology Officer Linda Baker Senior Vice President Denise Mealey

Hipnovista (Hypnovista) Tomas Mendoza-Arraco 146 x 130 cm, acrylic on canvas Hipnovista is an artwork in which the eye is the symbol of the whole painting. A physician is collecting eyes from the patients. These eyes are keeping the personality of the person from whom they have been taken. There are eyes that have been winking, looking at different places, looking like humans or animals, sleeping, and, as a whole, hypnotizing the observer. The painting shows an dreamlike environment in which figures, animals, and glances are everywhere. Tomas Mendoza-Arraco is a consolidated artist from Murcia, Spain. This eminent artist has been shy about showing his artwork and, even though his artwork is claimed for many exhibitions, he just selects a few to send. He has received several national awards and his artworks are in a number of museums in Spain. He is an oniric painter, which is very well reflected in this artwork. Description by Jorge L. Alió

JOURNAL OF REFRACTIVE SURGERY (ISSN1081-597X; Canadian BN #129780466RT) is published monthly by SLACK Incorporated, 6900 Grove Road, Thorofare, NJ 08086. Telephone 856-848-1000. Fax 856-848-6091. Copyright 2017 by SLACK Incorporated. All rights reserved. No part of this publication may be reproduced without prior written consent of the publisher. Printed in USA. Permission requests to copy or reuse material published herein are directed to the Request Permissions link on every article page at Healio.com/JRS. Readers with queries about the Journal’s policies on error correction, version control, journal of record, ancillary material, or archiving should contact jrs@healio.com. The Journal staff have no financial relationships to disclose. Financial disclosures for the Editor and members of the Editorial Board are on file with the editorial office. Subscription rates in the US and possessions: One year-print: $298.00, electronic only: $265.00; Institutional: One year: $499.00; Canada: add 5% GST tax to total subscription price; Outside US add $66.00 each year, delivered by air service. Resident and Fellow rate in the US: $140.00 (a letter of certification from the institution indicating residency/fellowship of the subscriber is required). Single copies of current issues may be obtained for $63.00. Subscriptions to the Journal of Refractive Surgery are included in the membership dues for the ISRS. Subscription requests should be addressed to the publisher. Change of address. Notice should be sent to the publisher six weeks in advance of effective date. Include old and new addresses with zip codes. The publisher cannot accept responsibility for undelivered copies. Postmaster: Send change of address to the Journal of Refractive Surgery, 6900 Grove Road, Thorofare, NJ 08086. Periodicals Class Postage Paid at Thorofare, NJ 08086 and at additional mailing offices. Responsibility for statements. The publication of advertising in the Journal does not constitute any guarantee or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated of the advertised product or service or of claims made by the advertiser. See web site for print and web advertising policy. The publication of articles and other editorial material in the Journal does not represent the policy or recommendations of, or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated.

Follow JRSJournal

The “Miradas” competition was created by Jorge Alió, Journal of Refractive Surgery Editorial Board Member, and his wife, Maria Lopez, in 1998 with the intention of using artistic sensibility to bring society’s attention to the phenomenon of sight, vision, and blindness. “Miradas,” which means glances, is a contest in which artists from Spain and several Latin American countries submit paintings dealing with the topic of sight and the prevention of blindness. Each cover of the Journal of Refractive Surgery features paintings that were submitted to this competition. “Miradas” is sponsored by Schwind Eye-Tech-Solutions. For more information, contact www.fundacionalio.com

SLACK Incorporated 6900 GROVE ROAD THOROFARE, NJ 08086-9447 Healio.com/JRS


Cited in MEDLINE/PubMed

SEPTEMBER 2017

Refractive Surgery ®

Ciliary Muscle Electrostimulation to Restore Accommodation in Patients With Early Presbyopia Technique to Reduce Incidence of Opaque Bubble Layer Formation During LASIK Flap Creation Effect of Lowering Laser Energy on the Surface Roughness of Human Corneal Lenticules in SMILE

Published for the Society by

ACCESS FULL TEXT at Healio.com/JRS


Journal of

Refractive Surgery ®

SLACK Incorporated Senior Vice President Stephanie Arasim Portnoy EDITORIAL Vice President/Editorial Jennifer A. Kilpatrick, ELS Editorial Director Karen G. Stanwood, ELS Executive Editor Eileen C. Anderer, ELS Assistant Editor Sheena Kailian Senior Peer Review Coordinator Sheryl Croce SALES National Account Manager Jaimie Byers Sales Specialist Joyce Seville Advertising Sales Administrator, Recruitment Jennifer Carroll Reprints/EPrints Wright’s Media Licensing Opportunities 1-877-652-5295 MARKETING AND DESIGN Vice President/Marketing Michelle Gatt Creative Director Thomas Cavallaro Circulation Manager John Kain The Wyanoke Group President Peter N. Slack Chief Operating Officer John C. Carter Executive Vice President Richard N. Roash Chief Financial Officer Darrell Blood Chief Technology Officer Linda Baker Senior Vice President Denise Mealey

Boo Keith More 29.7 x 42 cm, pencil drawing on paper The world that we see around us in between blinks. . .tiny moments of blindness. The artist tried to imagine how it would be if we only saw tiny moments of sight between blindness or, worse still, had no sight at all. This artwork reflects this instant moment of surprise, awareness, and vision. Keith More is a detailed hyperrealist young artist from the United Kingdom (keithmore2000@yahoo.com.uk). Description by Jorge L. Alió

JOURNAL OF REFRACTIVE SURGERY (ISSN1081-597X; Canadian BN #129780466RT) is published monthly by SLACK Incorporated, 6900 Grove Road, Thorofare, NJ 08086. Telephone 856-848-1000. Fax 856-848-6091. Copyright 2017 by SLACK Incorporated. All rights reserved. No part of this publication may be reproduced without prior written consent of the publisher. Printed in USA. Permission requests to copy or reuse material published herein are directed to the Request Permissions link on every article page at Healio.com/JRS. Readers with queries about the Journal’s policies on error correction, version control, journal of record, ancillary material, or archiving should contact jrs@healio.com. The Journal staff have no financial relationships to disclose. Financial disclosures for the Editor and members of the Editorial Board are on file with the editorial office. Subscription rates in the US and possessions: One year-print: $298.00, electronic only: $265.00; Institutional: One year: $499.00; Canada: add 5% GST tax to total subscription price; Outside US add $66.00 each year, delivered by air service. Resident and Fellow rate in the US: $140.00 (a letter of certification from the institution indicating residency/fellowship of the subscriber is required). Single copies of current issues may be obtained for $63.00. Subscriptions to the Journal of Refractive Surgery are included in the membership dues for the ISRS. Subscription requests should be addressed to the publisher. Change of address. Notice should be sent to the publisher six weeks in advance of effective date. Include old and new addresses with zip codes. The publisher cannot accept responsibility for undelivered copies. Postmaster: Send change of address to the Journal of Refractive Surgery, 6900 Grove Road, Thorofare, NJ 08086. Periodicals Class Postage Paid at Thorofare, NJ 08086 and at additional mailing offices. Responsibility for statements. The publication of advertising in the Journal does not constitute any guarantee or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated of the advertised product or service or of claims made by the advertiser. See web site for print and web advertising policy. The publication of articles and other editorial material in the Journal does not represent the policy or recommendations of, or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated.

Follow JRSJournal

The “Miradas” competition was created by Jorge Alió, Journal of Refractive Surgery Editorial Board Member, and his wife, Maria Lopez, in 1998 with the intention of using artistic sensibility to bring society’s attention to the phenomenon of sight, vision, and blindness. “Miradas,” which means glances, is a contest in which artists from Spain and several Latin American countries submit paintings dealing with the topic of sight and the prevention of blindness. Each cover of the Journal of Refractive Surgery features paintings that were submitted to this competition. “Miradas” is sponsored by Schwind Eye-Tech-Solutions. For more information, contact www.fundacionalio.com

SLACK Incorporated 6900 GROVE ROAD THOROFARE, NJ 08086-9447 Healio.com/JRS


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The JOURNAL OF REFRACTIVE SURGERY is excited that subscribers will now be able to download the JOURNAL from the App Store and access the Current Issue on their mobile devices. With the JOURNAL OF REFRACTIVE SURGERY App, you will be able to access the latest original research, review, and evaluation of refractive and lens-based surgical procedures at your fingertips. Simply visit the App Store, search for JOURNAL OF REFRACTIVE SURGERY and then download the free App. When prompted, enter your 16 digit subscriber number in the user name field and then begin to read the latest issue of the JOURNAL.

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LenSx® Laser Important Product Information for Cataract and Corneal Flap Treatments: Caution: United States Federal Law restricts this device to sale and use by or on the order of a physician or licensed eye care practitioner. Indication: Cataract Surgery Indication: The LenSx® Laser is indicated for use in patients undergoing cataract surgery for removal of the crystalline lens. Intended uses in cataract surgery include anterior capsulotomy, phacofragmentation, and the creation of single plane and multi-plane arc cuts/incisions in the cornea, each of which may be performed either individually or consecutively during the same procedure. Corneal Flap Indication: The LenSx® Laser is indicated for use in the creation of a corneal flap in patients undergoing LASIK surgery or other treatment requiring initial lamellar resection of the cornea. Restrictions: Patients must be able to lie flat and motionless in a supine position. Patient must be able to understand and give an informed consent. Patients must be able to tolerate local or topical anesthesia. Patients with elevated IOP should use topical steroids only under close medical supervision. Contraindications: Cataract Surgery Contraindications: Corneal disease that precludes applanation of the cornea or transmission of laser light at 1030 nm wavelength Descemetocele with impending corneal rupture Presence of blood or other material in the anterior chamber Poorly dilating pupil, such that the iris is not peripheral to the intended diameter for the capsulotomy Conditions which would cause inadequate clearance between the intended capsulotomy depth and the endothelium (applicable to capsulotomy only) Previous corneal incisions that might provide a potential space into which the gas produced by the procedure can escape Corneal thickness requirements that are beyond the range of the system Corneal opacity that would interfere with the laser beam Hypotony, glaucoma* or the presence of a corneal implant Residual, recurrent, active ocular or eyelid disease, including any corneal abnormality (for example, recurrent corneal erosion, severe basement membrane disease) History of lens or zonular instability Any contraindication to cataract or keratoplasty This device is not intended for use in pediatric surgery. *Glaucoma is not a contraindication when these procedures are performed using the LenSx® Laser SoftFit™ Patient Interface Accessory Corneal Flap Contraindications: Corneal lesions Corneal edema Hypotony Glaucoma Existing corneal implant Keratoconus This device is not intended for use in pediatric surgery. Warnings: The LenSx® Laser System should only be operated by a physician trained in its use. The LenSx® Laser delivery system employs one sterile disposable Patient Interface consisting of an applanation lens and suction ring. The Patient Interface is intended for single use only. The disposables used in conjunction with ALCON® instrument products constitute a complete surgical system. Use of disposables other than those manufactured by Alcon may affect system performance and create potential hazards. The physician should base patient selection criteria on professional experience, published literature, and educational courses. Adult patients should be scheduled to undergo cataract extraction. Precautions: Do not use cell phones or pagers of any kind in the same room as the LenSx® Laser. Discard used Patient Interfaces as medical waste. Complications: Cataract Surgery AEs/Complications: Capsulotomy, phacofragmentation, or cut or incision decentration Incomplete or interrupted capsulotomy, fragmentation, or corneal incision procedure Capsular tear Corneal abrasion or defect Pain Infection Bleeding Damage to intraocular structures Anterior chamber fluid leakage, anterior chamber collapse Elevated pressure to the eye Corneal Flap AEs/Complications: Corneal edema Corneal pain Epithelial in-growth Epithelial defect Infection Flap decentration Incomplete flap creation Flap tearing or incomplete lift-off Free cap Attention: Refer to the LenSx® Laser Operator’s Manual for a complete listing of indications, warnings and precautions.

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© 2016 Novartis 9/16 US-LSX-16-E-3830


Journal of

Refractive Surgery ®

SLACK Incorporated Senior Vice President Stephanie Arasim Portnoy EDITORIAL Vice President/Editorial Jennifer A. Kilpatrick, ELS Editorial Director Karen G. Stanwood, ELS Executive Editor Eileen C. Anderer, ELS Assistant Editor Sheena Kailian Senior Peer Review Coordinator Sheryl Croce SALES National Account Manager Tara Kosmowsky Sales Specialist Joyce Seville Advertising Sales Administrator, Recruitment Jennifer Carroll Reprints/EPrints Wright’s Media Licensing Opportunities 1-877-652-5295 MARKETING AND DESIGN Vice President/Marketing Michelle Gatt Creative Director Thomas Cavallaro Circulation Manager John Kain The Wyanoke Group President Peter N. Slack Chief Operating Officer John C. Carter Executive Vice President Richard N. Roash Chief Financial Officer Darrell Blood Chief Technology Officer Linda Baker Senior Vice President Denise Mealey

La Vision (The Vision) Fernando Oliveri 150 x 110 cm, oil on canvas This artwork shows the impressive vision of Steve Jobs, the creator of Apple, an individual with imagination and the capability of seeing beyond what we can normally see. His fantasy, the empathy of his glance with expectancy for the future, and his talent is reflected in the deep insight of his glance and his determined resolution is evident in his face. His face is partially covered by wood, symbolizing the limitations that normal people have in their mental performance, something that he escaped from by looking in between. Fernando Oliveri is a well-known and famous artist from Uruguay who has been active since 1963 in art exhibitions and the art environment in Uruguay and internationally in Latin America. His artwork is in many countries in both America and Europe and he has received national and international awards. La Vision won the Miradas International Award 2016, voted by the juries of 21 countries participating in Miradas 2016. Description by Jorge L. Alió

JOURNAL OF REFRACTIVE SURGERY (ISSN1081-597X; Canadian BN #129780466RT) is published monthly by SLACK Incorporated, 6900 Grove Road, Thorofare, NJ 08086. Telephone 856-848-1000. Fax 856-848-6091. Copyright 2017 by SLACK Incorporated. All rights reserved. No part of this publication may be reproduced without prior written consent of the publisher. Printed in USA. Permission requests to copy or reuse material published herein are directed to the Request Permissions link on every article page at Healio.com/JRS. Readers with queries about the Journal’s policies on error correction, version control, journal of record, ancillary material, or archiving should contact jrs@healio.com. The Journal staff have no financial relationships to disclose. Financial disclosures for the Editor and members of the Editorial Board are on file with the editorial office. Subscription rates in the US and possessions: One year-print: $307.00, electronic only: $273.00; Institutional: One year: $524.00; Canada: add 5% GST tax to total subscription price; Outside US add $68.00 each year, delivered by air service. Resident and Fellow rate in the US: $153.00 (a letter of certification from the institution indicating residency/fellowship of the subscriber is required). Single copies of current issues may be obtained for $66.00. Subscriptions to the Journal of Refractive Surgery are included in the membership dues for the ISRS. Subscription requests should be addressed to the publisher. Change of address. Notice should be sent to the publisher six weeks in advance of effective date. Include old and new addresses with zip codes. The publisher cannot accept responsibility for undelivered copies. Postmaster: Send change of address to the Journal of Refractive Surgery, 6900 Grove Road, Thorofare, NJ 08086. Periodicals Class Postage Paid at Thorofare, NJ 08086 and at additional mailing offices. Responsibility for statements. The publication of advertising in the Journal does not constitute any guarantee or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated of the advertised product or service or of claims made by the advertiser. See web site for print and web advertising policy. The publication of articles and other editorial material in the Journal does not represent the policy or recommendations of, or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated.

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The “Miradas” competition was created by Jorge Alió, Journal of Refractive Surgery Editorial Board Member, and his wife, Maria Lopez, in 1998 with the intention of using artistic sensibility to bring society’s attention to the phenomenon of sight, vision, and blindness. “Miradas,” which means glances, is a contest in which artists from Spain and several Latin American countries submit paintings dealing with the topic of sight and the prevention of blindness. Each cover of the Journal of Refractive Surgery features paintings that were submitted to this competition. “Miradas” is sponsored by Schwind Eye-Tech-Solutions. For more information, contact www.fundacionalio.com

SLACK Incorporated 6900 GROVE ROAD THOROFARE, NJ 08086-9447 Healio.com/JRS


Cited in MEDLINE/PubMed

NOVEMBER 2017

Refractive Surgery ®

Corneal Cross-Linking (CXL): Standardizing Terminology and Protocol Nomenclature Assessing the Likely Effect of Posterior Corneal Curvature on Toric IOL Calculation Keratoconus Screening With Dynamic Biomechanical In Vivo Scheimpflug Analyses

Published for the Society by

ACCESS FULL TEXT at Healio.com/JRS


Journal of

Refractive Surgery ®

SLACK Incorporated Senior Vice President Stephanie Arasim Portnoy EDITORIAL Vice President/Editorial Jennifer A. Kilpatrick, ELS Editorial Director Karen G. Stanwood, ELS Executive Editor Eileen C. Anderer, ELS Assistant Editor Sheena Kailian Senior Peer Review Coordinator Sheryl Croce SALES National Account Manager Tara Kosmowsky Advertising Sales Joyce Seville Administrator Sales Coordinator, Jennifer Carroll Recruitment Reprints/EPrints Wright’s Media Licensing Opportunities 1-877-652-5295 MARKETING AND DESIGN Vice President/Marketing Michelle Gatt Creative Director Thomas Cavallaro Circulation Manager John Kain The Wyanoke Group President Peter N. Slack Chief Operating Officer John C. Carter Executive Vice President Richard N. Roash Chief Financial Officer Darrell Blood Chief Technology Officer Linda Baker Senior Vice President Denise Mealey

La Mirada de Teseo (The Glance of Teseo) José Antonio Hinojos 160 × 129 cm, oil on canvas This portrait shows a nonconformist hero who does not accept the established standards and is looking far away, much further away than average. He seems to have restrained anger and is trying not to raise any suspicion about his aggressive attitude. He wants to be away from mediocrity and the limitations of his environment. This is probably the self-portrait of the artist. José Antonio Hinojos is an outstanding local artist who has followed an extensive formal education in fine art. He can be considered as a professional academic painter. Despite his youth, he has received many local, national, and international awards. His exhibitions have been popular and he is currently an acknowledged artist for his young age. He is focused on realistic emotional painting, and this artwork reflects perfectly his trends at this moment of his career. Description by Jorge L. Alió

JOURNAL OF REFRACTIVE SURGERY (ISSN1081-597X; Canadian BN #129780466RT) is published monthly by SLACK Incorporated, 6900 Grove Road, Thorofare, NJ 08086. Telephone 856-848-1000. Fax 856-848-6091. Copyright 2017 by SLACK Incorporated. All rights reserved. No part of this publication may be reproduced without prior written consent of the publisher. Printed in USA. Permission requests to copy or reuse material published herein are directed to the Request Permissions link on every article page at Healio.com/JRS. Readers with queries about the Journal’s policies on error correction, version control, journal of record, ancillary material, or archiving should contact jrs@healio.com. The Journal staff have no financial relationships to disclose. Financial disclosures for the Editor and members of the Editorial Board are on file with the editorial office. Subscription rates in the US and possessions: One year-print: $307.00, electronic only: $273.00; Institutional: One year: $524.00; Canada: add 5% GST tax to total subscription price; Outside US add $68.00 each year, delivered by air service. Resident and Fellow rate in the US: $153.00 (a letter of certification from the institution indicating residency/fellowship of the subscriber is required). Single copies of current issues may be obtained for $66.00. Subscriptions to the Journal of Refractive Surgery are included in the membership dues for the ISRS. Subscription requests should be addressed to the publisher. Change of address. Notice should be sent to the publisher six weeks in advance of effective date. Include old and new addresses with zip codes. The publisher cannot accept responsibility for undelivered copies. Postmaster: Send change of address to the Journal of Refractive Surgery, 6900 Grove Road, Thorofare, NJ 08086. Periodicals Class Postage Paid at Thorofare, NJ 08086 and at additional mailing offices. Responsibility for statements. The publication of advertising in the Journal does not constitute any guarantee or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated of the advertised product or service or of claims made by the advertiser. See web site for print and web advertising policy. The publication of articles and other editorial material in the Journal does not represent the policy or recommendations of, or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated.

Follow JRSJournal

The “Miradas” competition was created by Jorge Alió, Journal of Refractive Surgery Editorial Board Member, and his wife, Maria Lopez, in 1998 with the intention of using artistic sensibility to bring society’s attention to the phenomenon of sight, vision, and blindness. “Miradas,” which means glances, is a contest in which artists from Spain and several Latin American countries submit paintings dealing with the topic of sight and the prevention of blindness. Each cover of the Journal of Refractive Surgery features paintings that were submitted to this competition. “Miradas” is sponsored by Schwind Eye-Tech-Solutions. For more information, contact www.fundacionalio.com

SLACK Incorporated 6900 GROVE ROAD THOROFARE, NJ 08086-9447 Healio.com/JRS


Cited in MEDLINE/PubMed

DECEMBER 2017

Refractive Surgery ®

Capsular Tension Rings to Reduce Refractive Shift With Trifocal IOLs Long-term Follow-up of LASEK With Mitomycin C to Correct Myopia in Thin Corneas In Vivo Early Corneal Biomechanical Changes After CXL for Progressive Keratoconus

Published for the Society by

ACCESS FULL TEXT at Healio.com/JRS


Journal of

Refractive Surgery ®

SLACK Incorporated Senior Vice President Stephanie Arasim Portnoy EDITORIAL Vice President/Editorial Jennifer A. Kilpatrick, ELS Editorial Director Karen G. Stanwood, ELS Executive Editor Eileen C. Anderer, ELS Assistant Editor Sheena Kailian Senior Peer Review Coordinator Sheryl Croce SALES National Account Manager Tara Kosmowsky Advertising Sales Joyce Seville Administrator Sales Coordinator, Jennifer Carroll Recruitment Reprints/EPrints Wright’s Media Licensing Opportunities 1-877-652-5295 MARKETING AND DESIGN Vice President/Marketing Michelle Gatt Creative Director Thomas Cavallaro Circulation Manager John Kain The Wyanoke Group President Peter N. Slack Chief Operating Officer John C. Carter Executive Vice President Richard N. Roash Chief Financial Officer Darrell Blood Chief Technology Officer Linda Baker Senior Vice President Denise Mealey

Liyuan Cosmetics Yudie Ding 39 × 39 cm, ink on paper This extremely delicate, colorful drawing reflects the preservation of the ancient millenary traditions of Chinese artwork, using modern art perspectives. The attention to detail, warm delicate colors, and expressivity of the glance of a young Chinese lady, heavily made up with traditional cosmetics, reflects that after two millennia, the Chinese spirit remains intact in its sensitivity and expressivity. Yudie Ding is a young artist from Wenzhou who uses her name as a nickname to identify her artwork. She has exhibited important artworks in Chinese exhibitions, always dealing with traditional Chinese art expressivity using modern techniques to transform traditional artwork into modern artwork. She has received important art awards and recognition in China. This artwork reflects well the personality and artistic moment of this relevant young painter. Description by Jorge L. Alió

JOURNAL OF REFRACTIVE SURGERY (ISSN1081-597X; Canadian BN #129780466RT) is published monthly by SLACK Incorporated, 6900 Grove Road, Thorofare, NJ 08086. Telephone 856-848-1000. Fax 856-848-6091. Copyright 2017 by SLACK Incorporated. All rights reserved. No part of this publication may be reproduced without prior written consent of the publisher. Printed in USA. Permission requests to copy or reuse material published herein are directed to the Request Permissions link on every article page at Healio.com/JRS. Readers with queries about the Journal’s policies on error correction, version control, journal of record, ancillary material, or archiving should contact jrs@healio.com. The Journal staff have no financial relationships to disclose. Financial disclosures for the Editor and members of the Editorial Board are on file with the editorial office. Subscription rates in the US and possessions: One year-print: $307.00, electronic only: $273.00; Institutional: One year: $524.00; Canada: add 5% GST tax to total subscription price; Outside US add $68.00 each year, delivered by air service. Resident and Fellow rate in the US: $153.00 (a letter of certification from the institution indicating residency/fellowship of the subscriber is required). Single copies of current issues may be obtained for $66.00. Subscriptions to the Journal of Refractive Surgery are included in the membership dues for the ISRS. Subscription requests should be addressed to the publisher. Change of address. Notice should be sent to the publisher six weeks in advance of effective date. Include old and new addresses with zip codes. The publisher cannot accept responsibility for undelivered copies. Postmaster: Send change of address to the Journal of Refractive Surgery, 6900 Grove Road, Thorofare, NJ 08086. Periodicals Class Postage Paid at Thorofare, NJ 08086 and at additional mailing offices. Responsibility for statements. The publication of advertising in the Journal does not constitute any guarantee or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated of the advertised product or service or of claims made by the advertiser. See web site for print and web advertising policy. The publication of articles and other editorial material in the Journal does not represent the policy or recommendations of, or endorsement by the ISRS, editors, publishers, or editorial boards of SLACK Incorporated.

Follow JRSJournal

The “Miradas” competition was created by Jorge Alió, Journal of Refractive Surgery Editorial Board Member, and his wife, Maria Lopez, in 1998 with the intention of using artistic sensibility to bring society’s attention to the phenomenon of sight, vision, and blindness. “Miradas,” which means glances, is a contest in which artists from Spain and several Latin American countries submit paintings dealing with the topic of sight and the prevention of blindness. Each cover of the Journal of Refractive Surgery features paintings that were submitted to this competition. “Miradas” is sponsored by Schwind Eye-Tech-Solutions. For more information, contact www.fundacionalio.com

SLACK Incorporated 6900 GROVE ROAD THOROFARE, NJ 08086-9447 Healio.com/JRS

Concurso Miradas 2017  

Obras premiadas que ilustram as capas da revista Journal of Refractive Surgery

Concurso Miradas 2017  

Obras premiadas que ilustram as capas da revista Journal of Refractive Surgery

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