Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Purpose: To measure the equatorial lens diameter in vivo and correlate it with other biometric variables in children undergoing cataract surgery.
Setting: Tertiary care institution.
Design: Prospective case series.
Methods: Children younger than 5 years with cataracts were included. Those with corneal opacities, previous ocular surgery, traumatic cataracts, and/or any coexisting corneal or retinal ocular pathology were excluded. In addition to routine investigations, all patients underwent ultrasound biomicroscopy of both eyes. Correlation between the measured value of axial length (AL), corneal diameter, age, and bag diameters and their effect on intraocular lens (IOL) implantation (aphakia/pseudophakia) were observed.
Results: We included 112 eyes of 68 children with a mean age of 11.42 ± 11.34 months (1 month to 4 years). Mean capsular bag diameter (CBD) in the eyes where IOL was placed successfully in the bag was 8.27 ± 0.6 mm (7.1 to 9.39 mm). The eyes in which IOL placement was difficult in the bag and who either were left aphakic or had bicapsular capture IOL placed had a mean diameter of 7.09 ± 0.99 mm (5.23 to 9.09 mm) ( P < .05). A significant and positive correlation was found between CBD and age, AL, and corneal diameter ( P = .00; 0.00; 0.001 and r = 0.4, 0.4, and 0.8, respectively). Bag diameter had the highest association (odds ratio 4) with successful IOL placement.
Conclusions: Bag diameters should be measured preoperatively in children with cataracts along with other biometric variables as it is the most important measurement that helps in making a decision regarding implantation and positioning of IOL.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/j.jcrs.0000000000001631 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Incision capsular bag herniation during subluxated lens surgery: mechanisms, management, and prevention.
Front Med (Lausanne)
August 2025
Eye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Purpose: To investigate the mechanism, intraoperative characteristics, management, and prevention of incision capsular bag herniation (ICBH), a previously unreported complication during cataract surgery in eyes with lens subluxation.
Methods: A retrospective observational case series was conducted on five male patients who developed ICBH during phacoemulsification with intraocular lens (IOL) implantation between January 2019 and December 2024. Among 867 subluxated-lens surgeries performed during this period, the estimated incidence of ICBH was 0.
A new accommodative sulcus-based intraocular lens, two years follow-up clinical observations and complications.
Asia Pac J Ophthalmol (Phila)
August 2025
Vissum Grupo Miranza, Alicante, Spain; Division of Ophthalmology, Universidad Miguel Hernández, Alicante, Spain. Electronic address:
Purpose: To report the clinical outcome, observations and complications related to the sulcus implantations of a new accommodative intraocular lens, the Lumina (AkkoLens Clinical b.v., Breda, The Netherlands) along the twenty-four-month period.
View Article and Find Full Text PDFAnatomical Determinants of Postoperative In-the-Bag IOL Position: Introducing a Novel Biometric Index.
Am J Ophthalmol
August 2025
Zhejiang University, Eye Center of Second Affiliated Hospital, School of Medicine (J.F., X.M., Z.X., C.S., W.Y., C.L., H.Z., W.X.), Hangzhou, Zhejiang, China; Zhejiang Provincial Key Laboratory of Ophthalmology (J.F., X.M., Z.X., C.S., W.Y., C.L., H.Z., W.X.), Hangzhou, Zhejiang, China; Zhejiang Pro
Purpose: To investigate whether a novel preoperative biometric index that integrates lens geometry and the relative position of the capsular bag can predict the postoperative in-the-bag intraocular lens (IOL) position proportion coefficient and subsequently the final IOL position.
Design: Retrospective study.
Subjects: This study included 322 eyes of 322 patients undergoing uneventful cataract surgery with in-the-bag implantation of an aspheric Tecnis IOL (Johnson & Johnson Vision, Santa Ana, CA).
Feasibility and Postoperative Outcome After Duet Procedure for Reversible Multifocality in Eyes with Co-Pathologies.
J Clin Med
August 2025
Department of Ophthalmology, LMU University Hospital, LMU Munich, 80336 Munich, Germany.
: To evaluate the safety and efficacy of the simultaneous implantation of a monofocal capsular bag-fixated and a trifocal supplementary sulcus-fixated intraocular lens (duet procedure) in eyes with co-existing pathologies undergoing cataract or refractive lens surgery. : In total, 80 eyes of 40 consecutive patients, who underwent refractive lens exchange or cataract surgery and received the duet procedure due to minor co-pathologies, were included in this retrospective case series. Preoperative assessment comprised slit-lamp biomicroscopy, optical biometry, posterior-segment optical coherence tomography, corneal endothelial specular microscopy, corneal tomography, manifest refraction and distance and near visual acuity testing.
View Article and Find Full Text PDFContralateral Randomized Comparison Between Intracameral Extended-Release Dexamethasone 9% Suspension Placed in the Capsular Bag with the Established Post-Cataract Regimen.
Adv Ther
August 2025
The Eye Institute of West Florida, 1225 West Bay Drive East Largo, Largo, FL, 33770, USA.
Introduction: This study aimed to compare the safety and efficacy of intracameral dexamethasone 9% single-dose sustained-release suspension with the established pharmaceutical regimen after cataract surgery.
Methods: This prospective self-controlled study included consecutive patients with bilateral visually significant cataracts. Patients received bilateral cataract extraction in the Eye Institute of West Florida by the same experienced surgeon (RJW).