{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T03:55:27Z","timestamp":1792814127810,"version":"4.5.0"},"reference-count":23,"publisher":"Association of University Professors of Ophthalmology","issue":"02","license":[{"start":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T00:00:00Z","timestamp":1690502400000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"National Eye Institute Vision Core Grant","award":["P30EY028102"],"award-info":[{"award-number":["P30EY028102"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Academic Ophthalmology"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Purpose\u2003Compare postoperative outcomes in cataract surgery between eyes with standard drop regimen versus dropless protocol by residents.<\/jats:p><jats:p>\n          Design\u2003Retrospective cohort study between April 1, 2018 and March 31, 2020.<\/jats:p><jats:p>\n          Methods\u2003The study was performed at Lyndon B. Johnson General Hospital in Houston, Harris County, Texas. A total of 547 eyes (234 dropless vs. 313 standard) with phacoemulsification cataract surgery and minimum of 1-month follow-up with best-corrected visual acuity (BCVA) were included. Dropless received 40\u2009mg sub-Tenon's triamcinolone and intracameral moxifloxacin. Patients were followed at postoperative day 1 (POD1), week 1 (POW1), and month 1 (POM1). Postoperative rate of BCVA better than 20\/40 (Good vision) and rate of complications were compared between groups.<\/jats:p><jats:p>\n          Results\u2003Good vision on POM1 in dropless (77.8%) was noninferior to standard (75.1%, p\u2009=\u20090.80). Complication rate in dropless (28.6%) was noninferior to standard (24.0%, p\u2009=\u20090.13). Intraocular pressure (IOP) elevation on POD1 (p\u2009=\u20090.041) and anterior chamber (AC) cells on POW1 and POM1 (p\u2009&lt;\u20090.001) were more frequent in dropless. Mean spherical equivalent at POM1 was better in dropless (\u22120.37 D [\u00b10.81 D]) compared with standard (\u22120.61D [\u00b10.77 D], p\u2009=\u20090.001). Early posterior capsular opacification (early PCO) was more frequent in dropless (p\u2009=\u20090.042).<\/jats:p><jats:p>\n          Conclusions\u2003Postoperative rate of BCVA better than 20\/40 and rate of postoperative complications were noninferior, although dropless had higher rates of AC inflammation, IOP elevation, and early PCO.<\/jats:p>","DOI":"10.1055\/s-0043-1771043","type":"journal-article","created":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T19:05:55Z","timestamp":1690571155000},"page":"e144-e153","source":"Crossref","is-referenced-by-count":10,"title":["Postoperative Complications of True Dropless Cataract Surgery versus Standard Topical Drops"],"prefix":"10.62199","volume":"15","author":[{"given":"Evan K.","family":"Wotipka","sequence":"additional","affiliation":[{"name":"Ruiz Department of Ophthalmology and Visual Science, McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex J.","family":"Wright","sequence":"additional","affiliation":[{"name":"Ruiz Department of Ophthalmology and Visual Science, McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James Z.","family":"Fan","sequence":"additional","affiliation":[{"name":"Ruiz Department of Ophthalmology and Visual Science, McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Fuhriman","sequence":"additional","affiliation":[{"name":"Ruiz Department of Ophthalmology and Visual Science, McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice Z.","family":"Chuang","sequence":"additional","affiliation":[{"name":"Ruiz Department of Ophthalmology and Visual Science, McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace C.","family":"Lindhorst","sequence":"additional","affiliation":[{"name":"Ruiz Department of Ophthalmology and Visual Science, McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert M.","family":"Feldman","sequence":"additional","affiliation":[{"name":"Ruiz Department of Ophthalmology and Visual Science, McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric L.","family":"Crowell","sequence":"additional","affiliation":[{"name":"Ruiz Department of Ophthalmology and Visual Science, McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"},{"name":"Department of Ophthalmology, Dell Medical School, Austin, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"48610","published-online":{"date-parts":[[2023,7,28]]},"reference":[{"issue":"12","key":"ref1","doi-asserted-by":"crossref","first-page":"e1221","DOI":"10.1016\/S2214-109X(17)30393-5","article-title":"Global causes of blindness and distance vision impairment 1990-2020: a systematic review and meta-analysis","volume":"5","author":"S R Flaxman","year":"2017","journal-title":"Lancet Glob Health"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1016\/j.jcrs.2007.02.032","article-title":"Prophylaxis of postoperative endophthalmitis following cataract surgery: results of the ESCRS multicenter study and identification of risk 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