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A model to predict postoperative axial length in children undergoing bilateral cataract surgery with primary IOL implantation

American Journal of Ophthalmology May 20, 2019

Trivedi RH, et al. - Researchers sought to create a model that may help in predicting postoperative globe axial length (AL) in children undergoing bilateral cataract surgery with primary IOL implantation in children above 2 years of age. They retrospectively analyzed 64 children who had AL data available for both eyes before surgery and at least one year after surgery. They developed a multivariable generalized estimating equation regression model via analyzing variables that could influence globe axial growth. To predict postoperative AL, the final model had beta value as below: Intercept (1.93), preoperative AL (0.91), Age at cataract surgery (-0.07), Age at follow-up (0.14) and interaction between age at surgery and age at follow-up (-0.005). Theoretically, this model seems to have value for predicting individual future adult size AL for each child undergoing cataract surgery that may assist the surgeon to customize the selection of an IOL power at implantation and also to help the parents to understand what to expect
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