Deviations From Age-Adjusted Normative Biometry Measures in Children Undergoing Cataract Surgery: Implications for Postoperative Target Refraction and IOL Power Selection

To evaluate whether pediatric eyes that deviate from age-adjusted normative biometry parameters predict variation in myopic shift after cataract surgery. This is a single institution longitudinal cohort study combining prospectively collected biometry data from normal eyes of children

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Published in:American journal of ophthalmology 2022-07, Vol.239, p.190-201
Main Authors: VanderVeen, Deborah K., Oke, Isdin, Nihalani, Bharti R.
Format: Article
Language:English
Subjects:
Age groups
Biometrics
Cataracts
Children & youth
Eye surgery
Glaucoma
Interferometry
myopic shift
pediatric IOL
Pediatrics
post-operative target refraction
Rate of refractive growth
Regression analysis
Review boards
Trends
Ultrasonic imaging
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cited_by cdi_FETCH-LOGICAL-c381t-3f35bd713095452b8dc54c01d61d18a65bc0e784cf976b99bcb50f7eca3509583
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container_title American journal of ophthalmology
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creator VanderVeen, Deborah K.
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description To evaluate whether pediatric eyes that deviate from age-adjusted normative biometry parameters predict variation in myopic shift after cataract surgery. This is a single institution longitudinal cohort study combining prospectively collected biometry data from normal eyes of children
doi_str_mv 10.1016/j.ajo.2022.02.022
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This is a single institution longitudinal cohort study combining prospectively collected biometry data from normal eyes of children &lt;10 years old with biometry data from eyes undergoing cataract surgery. Refractive data from patients with a minimum of 5 visits over ≥5 years of follow-up were used to calculate myopic shift and rate of refractive growth. Cataractous eyes that deviated from the middle quartiles of the age-adjusted normative values for axial length and keratometry were studied for variation in myopic shift and rate of refractive growth to 5 years and last follow-up visit. Multivariable analysis was performed to determine the association between myopic shift and rate of refractive growth and factors of age, sex, laterality, keratometry, axial length, intraocular lens power, and follow-up length. Normative values were derived from 100 eyes; there were 162 eyes in the cataract group with a median follow-up of 9.6 years (interquartile range: 7.3-12.2 years). The mean myopic shift ranged from 5.5 D (interquartile range: 6.3-3.5 D) for 0- to 2-year-olds to 1.0 D (interquartile range: 1.5-0.6 D) for 8- to 10-year-olds. Multivariable analysis showed that more myopic shift was associated with younger age (P &lt; .001), lower keratometry (P = .01), and male gender (P = .027); greater rate of refractive growth was only associated with lower keratometry measures (P = .001). Age-based tables for intraocular lens power selection are useful, and modest adjustments can be considered for eyes with lower keratometry values than expected for age.</description><identifier>ISSN: 0002-9394</identifier><identifier>EISSN: 1879-1891</identifier><identifier>DOI: 10.1016/j.ajo.2022.02.022</identifier><identifier>PMID: 35278359</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Age groups ; Biometrics ; Cataracts ; Children &amp; youth ; Eye surgery ; Glaucoma ; Interferometry ; myopic shift ; pediatric IOL ; Pediatrics ; post-operative target refraction ; Rate of refractive growth ; Regression analysis ; Review boards ; Trends ; Ultrasonic imaging</subject><ispartof>American journal of ophthalmology, 2022-07, Vol.239, p.190-201</ispartof><rights>2022 Elsevier Inc.</rights><rights>Copyright © 2022 Elsevier Inc. All rights reserved.</rights><rights>2022. 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This is a single institution longitudinal cohort study combining prospectively collected biometry data from normal eyes of children &lt;10 years old with biometry data from eyes undergoing cataract surgery. Refractive data from patients with a minimum of 5 visits over ≥5 years of follow-up were used to calculate myopic shift and rate of refractive growth. Cataractous eyes that deviated from the middle quartiles of the age-adjusted normative values for axial length and keratometry were studied for variation in myopic shift and rate of refractive growth to 5 years and last follow-up visit. Multivariable analysis was performed to determine the association between myopic shift and rate of refractive growth and factors of age, sex, laterality, keratometry, axial length, intraocular lens power, and follow-up length. Normative values were derived from 100 eyes; there were 162 eyes in the cataract group with a median follow-up of 9.6 years (interquartile range: 7.3-12.2 years). The mean myopic shift ranged from 5.5 D (interquartile range: 6.3-3.5 D) for 0- to 2-year-olds to 1.0 D (interquartile range: 1.5-0.6 D) for 8- to 10-year-olds. Multivariable analysis showed that more myopic shift was associated with younger age (P &lt; .001), lower keratometry (P = .01), and male gender (P = .027); greater rate of refractive growth was only associated with lower keratometry measures (P = .001). Age-based tables for intraocular lens power selection are useful, and modest adjustments can be considered for eyes with lower keratometry values than expected for age.</description><subject>Age groups</subject><subject>Biometrics</subject><subject>Cataracts</subject><subject>Children &amp; youth</subject><subject>Eye surgery</subject><subject>Glaucoma</subject><subject>Interferometry</subject><subject>myopic shift</subject><subject>pediatric IOL</subject><subject>Pediatrics</subject><subject>post-operative target refraction</subject><subject>Rate of refractive growth</subject><subject>Regression analysis</subject><subject>Review boards</subject><subject>Trends</subject><subject>Ultrasonic imaging</subject><issn>0002-9394</issn><issn>1879-1891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kc2O0zAUhS0EYsrAA7BBltiwSfFPnDiwKoWBSoVBzMzacuyb4iiJO3ZS1FfiKXFoYcEC6UqWfb9zfHUPQs8pWVJCi9ftUrd-yQhjSzIXe4AWVJZVRmVFH6IFIYRlFa_yC_QkxjZdizIvH6MLLlgpuagW6Od7ODg9Oj9EfBV8j1c7yFa2neIIFn_xoU_NA-B3zvcwhiP-DDpOASJ2A15_d50NMOC7wULYeTfs8FqPOmgz4psp7CAc3-BNv--cOf_R-IC_-jj6PYST861O3Ii_QTPLEoT1YPHmepu4HxDwDXTw-_0petToLsKz83mJ7q4-3K4_Zdvrj5v1apsZLumY8YaL2paUk0rkgtXSGpEbQm1BLZW6ELUhUMrcNFVZ1FVVm1qQpgSjuUgSyS_Rq5PvPvj7CeKoehcNdJ0ewE9RsYLLkjHJWUJf_oO2fgpDmi5RpRCVTKEkip4oE3yMARq1D67X4agoUXOQqlUpSDUHqchcs-bF2Xmqe7B_FX-SS8DbEwBpFQcHQUXjYDBgXUj7Uta7_9j_AshCsFI</recordid><startdate>20220701</startdate><enddate>20220701</enddate><creator>VanderVeen, Deborah K.</creator><creator>Oke, Isdin</creator><creator>Nihalani, Bharti R.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20220701</creationdate><title>Deviations From Age-Adjusted Normative Biometry Measures in Children Undergoing Cataract Surgery: Implications for Postoperative Target Refraction and IOL Power Selection</title><author>VanderVeen, Deborah K. ; Oke, Isdin ; Nihalani, Bharti R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-3f35bd713095452b8dc54c01d61d18a65bc0e784cf976b99bcb50f7eca3509583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Age groups</topic><topic>Biometrics</topic><topic>Cataracts</topic><topic>Children &amp; youth</topic><topic>Eye surgery</topic><topic>Glaucoma</topic><topic>Interferometry</topic><topic>myopic shift</topic><topic>pediatric IOL</topic><topic>Pediatrics</topic><topic>post-operative target refraction</topic><topic>Rate of refractive growth</topic><topic>Regression analysis</topic><topic>Review boards</topic><topic>Trends</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>VanderVeen, Deborah K.</creatorcontrib><creatorcontrib>Oke, Isdin</creatorcontrib><creatorcontrib>Nihalani, Bharti R.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>VanderVeen, Deborah K.</au><au>Oke, Isdin</au><au>Nihalani, Bharti R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Deviations From Age-Adjusted Normative Biometry Measures in Children Undergoing Cataract Surgery: Implications for Postoperative Target Refraction and IOL Power Selection</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>2022-07-01</date><risdate>2022</risdate><volume>239</volume><spage>190</spage><epage>201</epage><pages>190-201</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><abstract>To evaluate whether pediatric eyes that deviate from age-adjusted normative biometry parameters predict variation in myopic shift after cataract surgery. This is a single institution longitudinal cohort study combining prospectively collected biometry data from normal eyes of children &lt;10 years old with biometry data from eyes undergoing cataract surgery. Refractive data from patients with a minimum of 5 visits over ≥5 years of follow-up were used to calculate myopic shift and rate of refractive growth. Cataractous eyes that deviated from the middle quartiles of the age-adjusted normative values for axial length and keratometry were studied for variation in myopic shift and rate of refractive growth to 5 years and last follow-up visit. Multivariable analysis was performed to determine the association between myopic shift and rate of refractive growth and factors of age, sex, laterality, keratometry, axial length, intraocular lens power, and follow-up length. Normative values were derived from 100 eyes; there were 162 eyes in the cataract group with a median follow-up of 9.6 years (interquartile range: 7.3-12.2 years). The mean myopic shift ranged from 5.5 D (interquartile range: 6.3-3.5 D) for 0- to 2-year-olds to 1.0 D (interquartile range: 1.5-0.6 D) for 8- to 10-year-olds. Multivariable analysis showed that more myopic shift was associated with younger age (P &lt; .001), lower keratometry (P = .01), and male gender (P = .027); greater rate of refractive growth was only associated with lower keratometry measures (P = .001). Age-based tables for intraocular lens power selection are useful, and modest adjustments can be considered for eyes with lower keratometry values than expected for age.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>35278359</pmid><doi>10.1016/j.ajo.2022.02.022</doi><tpages>12</tpages></addata></record>
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subjects Age groups
Biometrics
Cataracts
Children & youth
Eye surgery
Glaucoma
Interferometry
myopic shift
pediatric IOL
Pediatrics
post-operative target refraction
Rate of refractive growth
Regression analysis
Review boards
Trends
Ultrasonic imaging
title Deviations From Age-Adjusted Normative Biometry Measures in Children Undergoing Cataract Surgery: Implications for Postoperative Target Refraction and IOL Power Selection
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