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May 11, 2026Open Access

Long-Term Refractive Outcomes Following Pediatric Cataract Surgery with Primary IOL Implantation

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Authors

ALArnan LimmahachaiTSThammanoon Surachatkumtonekul

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Overview

Retrospective review evaluates refractive outcomes in children after cataract surgery with IOL, suggesting adjustment for optimal results.

Key Points

  • The aim is to assess long-term refractive outcomes in children who had cataract surgery with primary IOL implantation.
  • Retrospective review of children under 13 years who underwent cataract surgery with IOL implantation from 2000 to 2020.
  • Included 71 eyes of 46 children with at least 5 years of follow-up; refractive data converted to spherical equivalents.
  • Linear mixed models were employed to analyze refractive shifts across four age groups.
  • Mean final refractive change: -5.47 D in ages 1 to <2.5 years, -1.33 D in ages 7 to <13 years, with 95% CI ranges reported.
  • Only 30.99% of eyes achieved refraction within ±1.00 D of emmetropia.
  • Preoperative axial length (P = 0.005) and follow-up duration (P = 0.003) were significant predictors of refractive change.

Cite This Study

Limmahachai et al. (2026) studied this question.

synapsesocial.com/papers/6a01724f3a9f334c2827269dhttps://doi.org/10.33192/smj.v78i5.280456
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