Exponential myopic shift over 13 years in aphakic and pseudophakic eyes after congenital cataract surgery within 6 months of birth - Scorecard - MDSpire
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Longitudinal Analysis of Accelerated Myopic Shift in Aphakic and Pseudophakic Eyes Post-Congenital Cataract Surgery During Early Infancy Over a 13-Year Period

  • By

  • Tetsuro Oshika

  • Noriyuki Unoki

  • Mai Miyagi

  • Koji Nomura

  • Takafumi Mori

  • Naoko Matsuki

  • Takao Endo

  • Daijiro Kurosaka

  • Kazuno Negishi

  • Shigeo Yoshida

  • Toshiyuki Nagamoto

  • Sachiko Nishina

  • October 1, 2026

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Clinical Scorecard: Longitudinal Analysis of Accelerated Myopic Shift in Aphakic and Pseudophakic Eyes Post-Congenital Cataract Surgery During Early Infancy Over a 13-Year Period

At a Glance

CategoryDetail
ConditionCongenital Cataract Surgery
Key MechanismsExponential decay of myopic shift correlated with logarithm of postoperative time.
Target PopulationInfants undergoing cataract surgery before 6 months of age.
Care SettingMulticentre surgical centres in Japan.

Key Highlights

  • Myopic shift persists for at least 13 years post-surgery.
  • Significantly greater myopic shift observed in bilateral pseudophakia cases.
  • Ocular growth contributes to postoperative refractive variability.

Guideline-Based Recommendations

Diagnosis

  • Monitor refractive outcomes post-cataract surgery.

Management

  • Sustained long-term refractive management is essential.

Monitoring & Follow-up

  • Regular assessments of refractive change during follow-up.

Risks

  • Anticipate ongoing myopic shift of approximately −8 to −12 D extending into adolescence.

Patient & Prescribing Data

Infants with congenital cataract.

Intraocular lens power selection must consider anticipated myopic shift.

Clinical Best Practices

  • Utilize retinoscopy for refractive error evaluation in infants.
  • Implement careful intraocular lens power calculation to mitigate myopic shift.

Related Resources & Content

Original Source(s)

Exponential myopic shift over 13 years in aphakic and pseudophakic eyes after congenital cataract surgery within 6 months of birth

  • by Tetsuro Oshika, Noriyuki Unoki, Mai Miyagi, Koji Nomura, Takafumi Mori, Naoko Matsuki, Takao Endo, Daijiro Kurosaka, Kazuno Negishi, Shigeo Yoshida, Toshiyuki Nagamoto, Sachiko Nishina

  • October 1, 2026

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