Eyeworld

WINTER 2026 | EYEWORLD | 5 continued on page 10 The top 10 JCRS and JCRO articles of 2026 A s another year wraps up, EyeWorld is looking back at the research that resonated most with readers of the Journal of Cataract & Refractive Surgery (JCRS), the official journal of ASCRS and ESCRS, and JCRS Online Case Reports (JCRO), its online-only companion jour- nal. The following recaps cover the most-viewed papers of the year. ASCRS and ESCRS members have access to the full papers online. Top 5 from JCRS Global consensus on the evidence-based functional classification of simultaneous vision IOLs By far the most viewed artic le from JCRS this year was this paper in which the Functional Vision Working Group (com- posed of representatives from ASCRS, ESCRS, APACRS, and LATAMSCRS) developed the Functional Vision Framework to describe the functional classifica- tion of IOLs based on depth of field (DOFi) and "[emphasize] clinically meaningful outcomes that more accurately reflect patients' daily visual performance and overall quality of life." The working group also advocated for use of the AAO's Assessment of IntraOcular Implant Symp- toms (AIOLIS) questionnaire for consistency in postop symptom assessments. The ultimate goal of the working group was to "set a global stan- dard for evidence-based knowledge generation in IOL research and clinical practice." Check out the article on page 53 of this issue of EyeWorld, which delves further into this paper. Effect of pupillary dilation on ocular biometry and intraocular lens power calculation: prospective cohort study This prospective cohort study evaluated the effect of pupillary dilation on ocular biometry and IOL power calculations, com- paring these measurements and calculations with real-world post- op outcomes in 84 patients. According to the authors, pupillary dilation "induced significant biometric changes," including an increased anterior chamber depth, decreased lens thick- ness, and changes in axial length, central corne- al thickness, and white to white. All calculation formulas evaluated, except the Hoffer QST, had a small, statistically significant myopic shift in prediction error after dilation. Mean and me- dian change in absolute prediction errors were unchanged, and regression analysis identified that axial length, keratometry, and anterior chamber depth were significant predictors of myopic shift in all formulas evaluated. The authors advocate for similar analysis with larger cohorts to confirm findings. Efficacy of intracameral moxifloxacin in prevention of postcataract surgery endophthalmitis: randomized control trial This randomized clinical study provided further evidence sup- porting the use of intracameral moxifloxacin as part of endoph- thalmitis prevention after cata- ract surgery. The study included 60,000 eyes that were randomized to receive intracameral moxifloxacin or not. The potential for developing endophthalmitis was 2.5 times lower in the moxifloxacin group, with 6 eyes in the group that received the intracameral anti- biotic developing endophthalmitis compared to 16 in the control group. The authors concluded that "intracameral moxifloxacin is safe and ef- fective in preventing postcataract surgery acute bacterial endophthalmitis." Halo assessment in intraocular lenses through high dynamic range images An in vitro bench study analyzed halo formation among several IOLs. The IOLs were put in a model eye with a PMMA "cornea" with typical spherical aberration and a "pupil" 4.5 mm wide. A digital camera sensor acted as the "retina," recording what the "eye" saw. A focus tunable lens mimicked the eye adjusting to focus at different distances. Monofocal IOLs resulted in halos with a radius of about 0.4 degrees, while nondiffractive EDOF IOLs produced radii

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