ArticleAdvances in ophthalmology practice and research
Intraocular lens tilt and decentration and optical quality after primary intraocular lens implantation in pediatric cataract patients.
Article in Advances in ophthalmology practice and research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Intraocular Lens Modifications for Postoperative Complication Prevention: Advances in Surface Engineering, Drug Delivery, and Photo-Responsive Strategies.Pharmaceutics · 2026Review
- Changes of pupil parameters and visual quality after cataract surgery as well as their correlation.International journal of ophthalmology · 2026Article
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Authors and funding
8 authors.
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Abstract
Purposes: To investigate the characteristics and associated factors of intraocular lens (IOL) tilt and decentration in pediatric cataract patients undergoing primary IOL implantation and to explore their impact on postoperative optical quality. Methods: Children who underwent cataract extraction with posterior capsulotomy, primary anterior vitrectomy, and in-the-bag IOL implantation over 6 months were enrolled. Patient data and ocular biometric parameters were retrieved from electronic files. Retroillumination images were obtained to evaluate capsular outcomes. IOL tilt and decentration were assessed using the swept-source optical coherence tomography, and wavefront aberrations were measured with the OPD-Scan III. Results: A total of 125 eyes from 125 patients with a mean age at surgery of 4.74 ± 1.49 years were included. The IOLs demonstrated a mean tilt of 6.02 ± 1.97° toward the temporal direction and a mean decentration of 0.28 ± 0.13 mm toward the superior-temporal direction. Multivariate analysis revealed that shorter axial length (AL; Conclusions: Shorter AL, smaller CD, significant cortical proliferation, and incomplete capsulorhexis-IOL overlap contributed to greater IOL misalignment in pediatric cataract patients with primary in-the-bag IOL implantation, which may compromise postoperative optical quality by increasing internal tHOA and astigmatism.
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