Managing Long or Short Axial Length in Cataract Surgery - Top-Institutions - MDSpire

Managing Long or Short Axial Length in Cataract Surgery

Managing eyes at the extremes of axial length (AL)—longer than 26 mm or shorter than 20 mm—presents unique anatomical and surgical challenges during phacoemulsification. This article summarizes key considerations for biometry and intraocular lens (IOL) calculations, chamber stability, and the selection of minimally invasive glaucoma surgery (MIGS) procedures in these complex cases.

  • By

  • Lauren S. Blieden, MD

  • January 1, 2026

  • 9 min

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Top Institutions in Optometry

Brief introduction explaining scope and methodology.

  • #1

    Bascom Palmer Eye Institute
    Bascom Palmer Eye Institute

    Miami, FL

    Key Differentiators

    • Ophthalmology
    • Cataract Surgery
    • Glaucoma
    • Ocular Biometry

  • #2

    Wills Eye Hospital
    Wills Eye Hospital

    Philadelphia, PA

    Key Differentiators

    • Ophthalmology
    • Cataract Surgery
    • Glaucoma

  • #3

    Massachusetts Eye and Ear Infirmary
    Massachusetts Eye and Ear Infirmary

    Boston, MA

    Key Differentiators

    • Ophthalmology
    • Cataract Surgery
    • Glaucoma
    • Ocular Imaging

  • #4

    Johns Hopkins Wilmer Eye Institute
    Johns Hopkins Wilmer Eye Institute

    Baltimore, MD

    Key Differentiators

    • Ophthalmology
    • Cataract Surgery
    • Glaucoma

  • #5

    Duke Eye Center
    Duke Eye Center

    Durham, NC

    Key Differentiators

    • Ophthalmology
    • Cataract Surgery
    • Glaucoma

Original Source(s)

Managing Long or Short Axial Length in Cataract Surgery

  • by Lauren S. Blieden, MD

  • January 1, 2026

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