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Updated: May 8, 2026

$Comparison of Agreement and Accuracy using Binocular Wavefront Optometer with Autorefractor and Phoropter$

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[Evaluation of predictability and refractive changes in pediatric pseudophakia].

O Arámbulo de Borin¹, M Paz, K González

¹Servicio Autónomo, Hospital Universitario, Maracaibo, Estado Zulia, Venezuela. odalisab@hotmail.com

Archivos De La Sociedad Espanola De Oftalmologia

|August 31, 2013

Summary

Pediatric cataract surgery outcomes show that younger children (0-2 years) have higher refractive prediction errors and significant refractive changes post-intraocular lens (IOL) implantation. Older children (>2 years) demonstrate better refractive predictability.

Keywords:

Cambio miópico Cambio refractivo Error refractivo Myopic shift Pediatric pseudophakia Predictability Predictibilidad Pseudofaquia pediátrica Refractive change Refractive error

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$Comparison of Agreement and Accuracy using Binocular Wavefront Optometer with Autorefractor and Phoropter$

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Binocular Dynamic Visual Acuity in Eyeglass-Corrected Myopic Patients

Binocular Dynamic Visual Acuity in Eyeglass-Corrected Myopic Patients

Published on: March 29, 2022

Area of Science:

Ophthalmology
Pediatric Medicine
Refractive Surgery

Context:

Pediatric pseudophakia, resulting from cataract surgery with intraocular lens (IOL) implantation, presents unique challenges in refractive predictability due to ongoing ocular development.
Accurate refractive outcomes are crucial for visual development in children, making precise IOL calculations essential.

Purpose:

To evaluate the predictability of postoperative refraction and long-term refractive changes in pediatric pseudophakia.
To compare refractive outcomes across different age groups undergoing cataract surgery with IOL implantation.

Summary:

A 5-year prospective study followed 60 eyes of 44 pediatric patients (under 15 years) who had cataract surgery with IOLs, divided into four age groups (0-2, 3-5, 6-8, 9+ years).
The 0-2 year age group exhibited significantly higher refractive prediction errors (1.5±1.8 D) and greater refractive changes over 5 years (-4.7±3.4 D) compared to older groups.
While the youngest group had high variability, their refractive outcomes were within 2 standard deviations, aligning with rapid axial length growth in early childhood.

Impact:

Findings indicate that IOL calculation and implantation in children aged 2 years and older yield better immediate and long-term refractive predictability.
The study highlights the increased variability and refractive shifts in infants and very young children, necessitating careful consideration in IOL selection and management.
This research informs surgical planning and enhances the understanding of refractive development following pediatric cataract surgery.