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Mean age (\u00b1\u2009SD) at surgery in children with PFV was 2.24\u2009\u00b1\u20091.23 months and 2.44\u2009\u00b1\u20091.51 months in the non-PFV group. Mean post-operative follow-up was 64.94\u2009\u00b1\u200934.67 months. 60% of the eyes remained aphakic for the entire follow-up.<\/jats:p>\n            <jats:p>In aphakic children, the mean post-operative spherical equivalent (SE) in the PFV eye was\u2009+\u200918.74D,\u2009+\u200915.73D,\u2009+\u200913.88D,\u2009+\u200912.51D,\u2009+\u200911.29D at one-month, one-year, two-years, three-years and five-years respectively. In the non-PFV eye the SE was\u2009+\u200923.00D,\u2009+\u200920.44D,\u2009+\u200917.84D,\u2009+\u200917.52D,\u2009+\u200918.48D at one-month, one-year, two-years, three-years and five-years respectively. During the entire post-operative course, the SE remained less hyperopic in the PFV eyes (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01).<\/jats:p>\n            <jats:p>The rate of emmetropization was similar for PFV and non-PFV eyes. Five-years after surgery the mean myopic shift was -6.82\u2009\u00b1\u20094.32 D in the PFV eyes and -5.47\u2009\u00b1\u20092.44D in the non-PFV eyes (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05).<\/jats:p>\n            <jats:p>The changes in refraction error did not correlate with either presence of glaucoma, secondary cataract, amblyopia or strabismus.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Eyes with PFV have a similar rate of emmetropization as other pediatric congenital cataracts. Interestingly, aphakic PFV eyes have a less hyperopic refraction during one-month and up to five-years after surgery as compared to non-PFV eyes.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00417-025-06841-6","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T12:45:30Z","timestamp":1745930730000},"page":"2369-2377","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Refractive changes after cataract removal in infancy: comparing eyes with and without persistent fetal vasculature"],"prefix":"10.1007","volume":"263","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2844-9382","authenticated-orcid":false,"given":"Ana","family":"Navarrete","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brice Nguedia","family":"Vofo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5437-8426","authenticated-orcid":false,"given":"Hadas","family":"Mechoulam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milka","family":"Matanis-Suidan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nur","family":"Azem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilana","family":"Karshai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ran","family":"David","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6878-0443","authenticated-orcid":false,"given":"Irene","family":"Anteby","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,4,29]]},"reference":[{"issue":"11","key":"6841_CR1","doi-asserted-by":"publisher","first-page":"4774","DOI":"10.1167\/iovs.07-1564","volume":"49","author":"P Capozzi","year":"2008","unstructured":"Capozzi P, Morini C, Piga S, Cuttini M, Vadal\u00e0 P (2008) Corneal curvature and axial length values in children with congenital\/infantile cataract in the first 42 months of life. 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The study does not contain any patient-identifying information.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"The authors have no relevant financial or non-financial interests to disclose.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Financial interests"}}]}}