Evidence map›Paper›PMID 40524360›Full record

Observational studyJournal of cataract and refractive surgery2025

Clinical data registry comparing outcomes of two light adjustable lenses.

John Doane, T Hunter Newsom, Stephen Slade, Vance Thompson, Nicholas Bruns, John Vukich

Abstract readComparative StudyMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of cataract and refractive surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

John DoaneFrom the Discover Vision Centers, Leawood, Kansas (Doane); Newsom Eye & Laser Center, Tampa, Florida; Slade & Baker Vision, Houston, Texas; Vance Thompson Vision, Sioux Falls, South Dakota; Summit Eye Care, Wauwatosa, Wisconsin (Bruns, Vukich).ORCID 0009-0000-0940-0471
T Hunter Newsom
Stephen Slade
Vance Thompson
John Vukich

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the clinical performance of the light adjustable lenses (LALs) with the LAL+ with an increased central power to have broader depth of focus (DoF).

settingPrivate practice clinics.

designProspective, nonrandomized, nonmask, multicenter.

methodsClinical data collection registry of patients bilaterally implanted with the LAL or LAL+. Outcome measures included subjective manifest refraction; monocular corrected distance, intermediate and near visual acuity; binocular uncorrected distance, intermediate, and near visual acuity; and binocular uncorrected best focus visual acuity at differing contrast levels.

results91.1% and 93.5% of LAL and LAL+ eyes had a manifest refraction spherical equivalent within 0.50 diopter of target, respectively. 92.0% and 89.0% of LAL and LAL+ patients had a binocular uncorrected distance visual acuity of 20/20 or better after adjustment, respectively. 86.0% and 93.0% of LAL and LAL+ patients had binocular uncorrected best focus visual acuity of J1 or better at 100% contrast, respectively. Distance corrected intermediate and near visual acuity was better with the LAL+ compared with the LAL, consistent with its further broadened DoF. Best corrected distance vision was only slightly reduced for LAL+ (1 letter), with both lenses achieving high levels.

conclusionsBoth LAL and LAL+ achieved excellent refractive and binocular visual outcomes at distance, intermediate, and near. The broadened DoF of the LAL+ was clinically evident and led to less anisometropia. The ability of patients to binocularly select and adjust their refraction according to their visual goal is a unique therapeutic approach to cataract refractive patients.

Indexed as

Lenses, IntraocularLens Implantation, IntraocularPseudophakiaRegistriesVisual AcuityAdultAgedDepth PerceptionFemaleHumansMaleMiddle AgedPhacoemulsificationProspective StudiesProsthesis DesignRefraction, Ocular

Identifiers

PMID40524360
PMCPMC12582604

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.