Evidence map›Paper›PMID 42474737›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2026

Long-term observation of myopic shift after secondary intraocular lens implantation in children with congenital cataract and its association with preoperative ocular parameters.

Jiaxi Song, Meiling Qin, Shuyu Zhou, Jingfan Liu, Mengru Jin, Jianfei Yue, Guangying Zheng, Li Li

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In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Jiaxi SongBS, Eye Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan Province, China.
Meiling QinBS, Eye Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan Province, China.
Shuyu ZhouBS, Eye Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan Province, China.
Jingfan LiuBS, Eye Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan Province, China.
Mengru JinBS, Eye Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan Province, China.
Jianfei YueBS, Eye Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan Province, China.
Guangying ZhengBS, Eye Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan Province, China. zzzgy@zzu.edu.cn.
Li LiBS, Eye Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan Province, China. redlily625@zzu.edu.cn.ORCID http://orcid.org/0009-0001-8092-8719

Funding

The 2022 Second Batch Provincial-level Science and Technology Research and Development Plan Joint Fund Projects (Key Projects) 225200810022
6 · The paper itself

Abstract

purposeThis study aimed to investigate myopic shift (MS) after secondary intraocular lens (IOL) implantation in children with congenital cataract (CC) and its association with preoperative ocular parameters.

methodsThis single-center retrospective study enrolled CC children who underwent primary lensectomy with anterior vitrectomy at 2-12 months and secondary IOL implantation at 24-42 months, with regular follow-up for at least 5 years. Patients were divided into unilateral and bilateral CC groups. In unilateral CC group, affected eyes were defined as the treatment group and contralateral healthy eyes as the fellow-eye group. Preoperative ocular parameters and postoperative outcomes were recorded. Linear regression was used to analyze factors associated with postoperative MS.

resultsA total of 129 CC children (258 eyes) were included. In unilateral treatment group, MS was significantly greater than in fellow eyes (all P < 0.001). Larger interocular axial length difference (IALD) and higher cylindrical power were associated with greater MS (P = 0.019 and P < 0.001, respectively). In bilateral CC, MS was significantly higher at 1-3 years postoperatively (P < 0.05), but not at 4-5 years or final follow-up (P > 0.05). Shorter preoperative AL and higher cylindrical power were associated with greater MS (P = 0.006 and P < 0.001, respectively). No significant postoperative cylindrical power changes were observed in either group (P > 0.05).

conclusionsPostoperative MS was greater in treated eyes of unilateral CC children than in fellow eyes and bilateral CC eyes. Preoperative evaluation of IALD in unilateral CC, AL in bilateral CC, and corneal astigmatism in all CC children may help optimize target refraction and long-term refractive outcomes.

Indexed as

Congenital cataractIntraocular lens implantationMyopic shiftPreoperative ocular parameters

Identifiers

PMID42474737

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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.