{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T17:13:26Z","timestamp":1772558006975,"version":"3.50.1"},"reference-count":34,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Background\/Objectives: To analyze the agreement between two swept-source optical coherence tomography (SS-OCT) devices in assessing glistening on intraocular lenses (IOL). Methods: Patients who had previously undergone cataract surgery were included. They were sequentially examined using two SS-OCT devices: Anterion (Heidelberg Engineering Inc., Heidelberg, Germany) and Triton (Topcon, Inc., Tokyo, Japan). Six corresponding scans from both devices were compared, and glistening, observed as hyperreflective foci (HRF), was manually counted. The total number of HRF and the degree of glistening were measured and categorized into four groups. The agreement between the two devices was analyzed using the intraclass correlation coefficient (ICC). Results: A total of 333 eyes from 285 patients were evaluated. The mean age was 76.5 \u00b1 8.0 years (range: 45\u201395). The median number of HRF detected in a single scan was 1.1 (IQR 0.0\u201310.2, range 0\u2013176) using Triton and 2.7 (IQR 0.2\u201320.1, range 0\u2013250) using Anterion. The ICC across different scans ranged from 0.8 to 0.9, indicating strong agreement between the two devices. Bland\u2013Altman plots showed better concordance in lenses with low glistening grades, while higher grades revealed greater discrepancies, with Anterion detecting significantly more HRF than Triton. Among all factors studied, only postsurgical time was associated with glistening. Conclusions: Two different SS-OCT devices can detect and quantify glistening in IOLs. The concordance between them was high, particularly for lower glistening grades. However, in higher grades, Anterion detected significantly more HRF than Triton.<\/jats:p>","DOI":"10.3390\/diagnostics16050733","type":"journal-article","created":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T15:22:21Z","timestamp":1772551341000},"page":"733","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Agreement Between Two Swept-Source Optical Coherence Tomography Devices in Assessing Glistening on the Intraocular Lens In Vivo"],"prefix":"10.3390","volume":"16","author":[{"given":"Teresa","family":"Serrano Gonz\u00e1lez-Peramato","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Hospital Universitario Cl\u00ednico San Carlos, Instituto de Investigaci\u00f3n Sanitaria (IdISSC), 28040 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8745-3464","authenticated-orcid":false,"given":"Jos\u00e9 Ignacio","family":"Fern\u00e1ndez-Vigo","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Hospital Universitario Cl\u00ednico San Carlos, Instituto de Investigaci\u00f3n Sanitaria (IdISSC), 28040 Madrid, Spain"},{"name":"Centro Internacional de Oftalmolog\u00eda Avanzada, 28010 Madrid, Spain"},{"name":"Department of Immunology, ENT, and Ophthalmology, School of Medicine, Universidad Complutense de Madrid, 28040 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3142-4100","authenticated-orcid":false,"given":"Beatriz","family":"De Pablo G\u00f3mez de Lia\u00f1o","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Hospital Central de la Cruz Roja San Jos\u00e9 y Santa Adela, 28003 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4567-348X","authenticated-orcid":false,"given":"Ignacio","family":"Almor\u00edn-Fern\u00e1ndez-Vigo","sequence":"additional","affiliation":[{"name":"Centro Internacional de Oftalmolog\u00eda Avanzada, 06010 Badajoz, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luc\u00eda","family":"De Pablo G\u00f3mez de Lia\u00f1o","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain"},{"name":"Department of Ophthalmology, School of Optics, Universidad Complutense de Madrid, 28040 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9220-8081","authenticated-orcid":false,"given":"In\u00e9s","family":"S\u00e1nchez-Guill\u00e9n","sequence":"additional","affiliation":[{"name":"Centro Internacional de Oftalmolog\u00eda Avanzada, 06010 Badajoz, Spain"},{"name":"Department of Ophthalmology, Hospital Universitario Perpetuo Socorro, 06010 Badajoz, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7184-5447","authenticated-orcid":false,"given":"Irene","family":"Serrano Garc\u00eda","sequence":"additional","affiliation":[{"name":"Unidad de Apoyo Metodol\u00f3gico a la Investigaci\u00f3n, Hospital Cl\u00ednico San Carlos, IdISSC, 28040 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Macarro-Merino","sequence":"additional","affiliation":[{"name":"Centro Internacional de Oftalmolog\u00eda Avanzada, 28010 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 \u00c1ngel","family":"Fern\u00e1ndez-Vigo","sequence":"additional","affiliation":[{"name":"Centro Internacional de Oftalmolog\u00eda Avanzada, 28010 Madrid, Spain"},{"name":"Centro Internacional de Oftalmolog\u00eda Avanzada, 06010 Badajoz, Spain"},{"name":"Department of Ophthalmology, School of Medicine, Universidad de Extremadura, 06006 Badajoz, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,3,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e186\u2013194","DOI":"10.1016\/j.ophtha.2020.07.004","article-title":"Intraocular lens complications: Decentration, uveitis\u2013glaucoma\u2013hyphema syndrome, opacification, and refractive surprises","volume":"128","author":"Durr","year":"2021","journal-title":"Ophthalmology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e74\u2013e93","DOI":"10.1016\/j.ophtha.2020.06.055","article-title":"Intraocular lenses: Overview of designs, materials, and pathophysiologic features","volume":"128","author":"Werner","year":"2021","journal-title":"Ophthalmology"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1016\/j.ajo.2012.03.011","article-title":"Long-term effect of surface light scattering and glistenings of intraocular lenses on visual function","volume":"154","author":"Hayashi","year":"2012","journal-title":"Am. 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