Postoperative Keratometry Prediction Model in Children Undergoing Bilateral Cataract Surgery With Primary Intraocular Lens Implantation

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorMedical University of South Carolina-
Autor(es): dc.contributorUniversidade Federal de São Paulo (UNIFESP)-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.creatorGouvea, Larissa-
Autor(es): dc.creatorWilson, M. Edward-
Autor(es): dc.creatorTrivedi, Rupal H.-
Autor(es): dc.creatorLottelli, Antonio Carlos-
Data de aceite: dc.date.accessioned2025-08-21T15:20:19Z-
Data de disponibilização: dc.date.available2025-08-21T15:20:19Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2025-03-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.3928/1081597X-20250123-02-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/302763-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/302763-
Descrição: dc.descriptionPURPOSE: To develop a model for predicting postoperative keratometry in children undergoing cataract surgery with primary intraocular lens (IOL) implantation. METHODS: The longitudinal retrospective study included all children who underwent bilateral cataract surgery and had available intraoperative and postoperative keratometry data. Variables that could influence postoperative keratometry were analyzed, and a generalized estimating equation regression model was used to predict postoperative keratometry. RESULTS: One hundred twenty eyes of 60 children were included. The mean age at surgery was 2.95 ± 2.78 years (range: 0.12 to 10.95 years), the mean age at the last follow-up was 7.25 ± 4.61 years (range: 0.50 to 20.41 years), and the mean follow-up was 2.40 ± 2.33 years (range: 0.25 to 10.37 years). Keratometry measurements were obtained in both eyes during 510 postoperative visits. The mean keratometry values before surgery and at the last follow-up were 45.32 ± 2.57 diopters (D) (range: 40.75 to 53.88 D) and 44.62 ± 2.25 D (range: 40.63 to 51.25 D), respectively. Preoperative mean keratometry, age at cataract surgery, and age at follow-up were statistically significant predictors of postoperative keratometry. The model to predict postoperative keratometry = 3.1304 + 0.9388 × (baseline keratometry) + 1.8294 × Log10 (baseline age), -1.1336 × Log10 (age at follow-up), -0.7045 × Log10 (baseline age) × Log10 (age at follow-up) was determined. The correlation between measured and estimated keratometry was R = 0.92. Using this model, a hypothetical patient who had surgery at 1 year of age with a mean keratometry value of 44.00 D would be estimated to have a keratometry value of 42.94 D at 21 years of age. CONCLUSIONS: The model is a good predictor for future keratometry after bilateral pediatric cataract surgery with an IOL implant.-
Descrição: dc.descriptionStorm Eye Institute Medical University of South Carolina-
Descrição: dc.descriptionThe Department of Ophthalmology and Visual Sciences Universidade Federal de São Paulo-
Descrição: dc.descriptionThe Division of Ophthalmology Surgical Specialties and Anesthesiology Department Botucatu Medical School São Paulo State University, Botucatu-
Descrição: dc.descriptionThe Division of Ophthalmology Surgical Specialties and Anesthesiology Department Botucatu Medical School São Paulo State University, Botucatu-
Formato: dc.formate207-e212-
Idioma: dc.languageen-
Relação: dc.relationJournal of Refractive Surgery-
???dc.source???: dc.sourceScopus-
Título: dc.titlePostoperative Keratometry Prediction Model in Children Undergoing Bilateral Cataract Surgery With Primary Intraocular Lens Implantation-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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