Insights in Cataract and Refractive Surgery

Glaucoma evaluation and management in refractive surgery candidates: a review: Yeoun Sook Chun; Insights Cataract Refract Surg 2026;11(2):27-39. Published online June 18, 2026; DOI: https://doi.org/10.63375/icrs.26.002

Abstract PDF ePub: The global prevalence of refractive surgery for myopia has increased substantially; however, definitive guidance regarding its effects on glaucoma assessment and progression remains limited. Although advances in technology and diagnostic instruments have improved the detection and monitoring of glaucoma in patients undergoing refractive surgery, concerns persist regarding postoperative intraocular pressure (IOP) elevation and the inaccuracy of IOP measurements associated with reduced central corneal thickness. Myopia is a well-established risk factor for primary open-angle glaucoma, and this risk may be further increased by various intraoperative and postoperative factors related to refractive surgery. Therefore, thorough preoperative glaucoma screening, along with systematic postoperative follow-up and evaluation, is essential. This review delineates key considerations before refractive surgery and summarizes important clinical issues in eyes that have undergone refractive procedures. Furthermore, it outlines the pathogenesis, mechanisms, and management strategies for postoperative IOP elevation.

Presbyopia-correcting intraocular lens options in myopic eyes undergoing cataract surgery: Sang Beom Han; Insights Cataract Refract Surg 2026;11(1):1-8. Published online February 26, 2026; DOI: https://doi.org/10.63375/icrs.25.016

Abstract PDF ePub: With ongoing advancements in surgical techniques and intraocular lens (IOLs) technologies, cataract surgery is increasingly recognized as a form of refractive procedure aimed at enhancing overall visual performance rather than being viewed solely as lens extraction. In parallel with this shift, a growing number of aging individuals with myopia are actively seeking spectacle independence following cataract surgery. The selection of IOLs for presbyopia correction in patients with myopia presents distinct clinical and refractive challenges, necessitating careful preoperative evaluation and individualized surgical planning. In this review, the author summarizes current evidence regarding the use of various IOLs, including monofocal, enhanced monofocal, extended depth-of-focus, and multifocal IOLs, for presbyopia correction in myopic patients and discusses key considerations involved in selecting the most appropriate IOL for this specific population.

Visual and refractive outcomes of keratorefractive lenticule extraction using VISUMAX 800 (SMILE Pro) to correct myopia in Koreans: a 3-month follow-up study: Sang-Mok Lee, Si-Hoon Park, Tae Keun Yoo, Jae Hyoung Park, Beom Jin Cho, Kee Yong Choi, Jong Woo Kim; Insights Cataract Refract Surg 2025;10(1):13-18. Published online February 28, 2025; DOI: https://doi.org/10.63375/icrs.25.004

Abstract PDF ePub: Purpose
The aim of this study was to report the clinical outcomes of SMILE Pro surgery in Korean myopia patients.
Methods
A retrospective analysis was conducted on the medical records of 90 patients (178 eyes) who underwent SMILE Pro surgery at our institution between October 2023 and June 2024 and were followed for 3 months postoperatively.
Results
Preoperative best corrected visual acuity was 0.009±0.020 (logarithm of the minimum angle of resolution). The average spherical equivalent was –5.13±2.16 diopters (range, –1.00 to –10.10 diopters), and the average astigmatism was –1.21±0.91 diopters (range, 0 to –4.0 diopters). Postoperatively, the uncorrected distance visual acuity at 1 day, 1 week, 1 month, and 3 months were 0.061±0.054, 0.013±0.027, 0.009±0.023, 0.005±0.021, respectively. At 3 months postsurgery, the predictive accuracy for spherical equivalent was 100% within ±0.5 diopters and 98.9% within ±0.25 diopters. For astigmatism, the predictive accuracy was 97.2% within ±0.25 diopters and 99.4% within ±0.5 diopters 97.2% and 99.4%. The scores for the efficacy and safety of refractive surgery at 3 months were both 1.01±0.05.
Conclusion
SMILE Pro surgery for myopia correction in Korean patients demonstrated excellent efficacy, safety, and predictive accuracy, with no significant difference compared to conventional SMILE surgery.

$Insights Cataract Refract Surg : Insights in Cataract and Refractive Surgery$