Evidence map›Paper›PMID 41559925›Full record

ArticleJournal of cataract and refractive surgery2026

Investigating the correlation between scleral spur angle and intraocular lens tilt.

Dylan McBee, Karim Kozhaya, Li Wang, Douglas D Koch, Allison J Chen, Mitchell P Weikert

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Article in Journal of cataract and refractive surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Dylan McBeeFrom the Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, Texas.ORCID 0000-0002-3050-976
Mitchell P WeikertORCID 0009-0004-7682-912

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the correlation between the preoperative vertex-scleral spur angle (Vtx-SSA) and postoperative horizontal intraocular lens (IOL) tilt after routine cataract surgery.

settingCullen Eye Institute, Baylor College of Medicine, Houston, Texas.

designProspective case series.

methodsThis study enrolled patients who underwent uneventful phacoemulsification cataract extraction with IOL implantation. The Anterion and Eyestar 900 swept-source optical coherence tomographers (SS-OCTs) were used to determine Vtx-SSA and lens tilt (crystalline and IOL) measurements, respectively. Tilt vectors were decomposed into orthogonal, vertical, and horizontal components to explore preoperative correlations independently. The Pearson correlation coefficient and linear regression analysis were used to evaluate the relationships between select variables.

resultsIn a cohort of 72 eyes of 72 patients, the preoperative Vtx-SSA was highly correlated with horizontal IOL tilt ( r2 = 0.97, P < .01). On average, tilting of the IOL in the horizontal axis accounted for nearly 80% of the total tilt magnitude. Crystalline lens measurements revealed a similarly strong correlation between horizontal tilts of the crystalline lens and IOL ( r2 = 0.97, P < .01). However, IOL tilt along the vertical meridian may be more difficult to anticipate using crystalline lens measurements ( r2 = 0.78, P < .01) and showed no correlation with axial length ( r2 = 0.00, P = .92).

conclusionsThe Vtx-SSA may be used as an easy-to-interpret presurgical surrogate for estimating horizontal IOL tilt. Still, it does not account for more minor contributions of tilt in the vertical plane.

Indexed as

Artificial Lens Implant MigrationLenses, IntraocularLens Implantation, IntraocularPhacoemulsificationScleraAgedAged, 80 and overFemaleHumansLens, CrystallineMaleMiddle AgedProspective StudiesTomography, Optical Coherence

Identifiers

PMID41559925
PMCPMC13200903

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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.