{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:51:56Z","timestamp":1747183916238,"version":"3.40.5"},"reference-count":43,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T00:00:00Z","timestamp":1691625600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Exper Ophthalmology"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The marked improvement in cataract surgery and intraocular lens (IOL) quality has led to a decline in posterior capsular opacification (PCO) incidence; however, PCO remains a common complication of cataract surgery. The CleaRing intraocular capsule open device (IOCD) decreases PCO incidence. We aimed to investigate the influence of the CleaRing IOCD on refractive predictability in cataract surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted this prospective pilot study at the Wolfson Medical Center, Holon, Israel. Ten eyes of patients who underwent cataract surgery and insertion of an IOL after IOCD implantation into the capsular bag were included. All patients completed 12\u2009months of follow\u2010up, including refraction, measurement of uncorrected (UDVA) and best\u2010corrected distance visual acuity (CDVA), slit\u2010lamp biomicroscopy, and ultrasound biomicroscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All the surgeries were uneventful, with no postoperative complications. The IOL was centred in the device and bag in all cases. The mean prediction error at 1 and 12\u2009months postoperatively was +0.28\u2009\u00b1\u20090.32 D and +0.50\u2009\u00b1 0.32 D, respectively. The mean UDVA was 0.17\u2009\u00b1\u20090.13 and 0.15\u2009\u00b1\u20090.11 logMAR, and the mean CDVA was 0.04\u2009\u00b1\u20090.10 and 0.04\u2009\u00b1\u20090.06 logMAR, respectively. The manifest refractive cylinders at 12\u2009months postoperatively were compatible with corneal astigmatism.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Implantation of the IOCD resulted in a slight, predicted, and stable hyperopic shift with a low standard deviation. The standard deviation of the prediction error demonstrated excellent refractive accuracy and predictability using the IOCD, which was as low as 0.32 D at the 12\u2010month follow\u2010up.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ceo.14282","type":"journal-article","created":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T07:31:50Z","timestamp":1691652710000},"page":"685-691","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Influence of the <scp>CleaRing<\/scp> intraocular open capsule device on refractive predictability in cataract surgery"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7048-9329","authenticated-orcid":false,"given":"Elinor","family":"Megiddo\u2010Barnir","sequence":"first","affiliation":[{"name":"Ophthalmology Department The Edith Wolfson Medical Center  Holon Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv University  Tel Aviv 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