ArticleInternational journal of ophthalmology2026
Effects of pediatric cataract surgery on the axial length/corneal radius ratio and choroidal thickness in school-age children: a prospective cohort study.
Article in International journal of ophthalmology, 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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Abstract
aimTo investigate the effects of cataract surgery on the axial length/corneal radius (AL/CR) ratio and choroidal thickness (CT) in school-age children and to analyze the underlying mechanisms.
methodsThis prospective cohort study enrolled school-age children who underwent phacoemulsification with intraocular lens (IOL) implantation between September 2024 and February 2025. The right eyes of bilateral cases and the affected eyes of unilateral cases were classified as Group A. Within this group, eyes implanted with trifocal IOLs were designated as Subgroup A1, whereas those receiving monofocal IOLs were designated as Subgroup A2. The contralateral healthy eyes of the unilateral cases formed Group B. Axial length (AL) and corneal curvature were measured using the IOL Master 700. CT was assessed using swept-source optical coherence tomography.
resultsA total of 50 eyes from 32 patients (Subgroup A1,
conclusionIn the early postoperative period, operated eyes of school-aged children show a stable AL/CR ratio and CT. Although a stable structural negative correlation between these two parameters is observed in operated eyes, the longitudinal coordinated relationship is disrupted, which may be related to the loss of accommodative function. Longer-term follow-up is needed to corroborate these findings.
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