{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T20:26:44Z","timestamp":1787344004361,"version":"build-2736575974"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Jpn J Ophthalmol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine whether comparing the predicted left-right difference in anterior chamber depth (p-\u0394ACD) derived from left-right difference in the lens thickness (\u0394LT) and axial length (\u0394AL) with the measured \u0394ACD (m-\u0394ACD) can improve the detection ability for zonular weakness before cataract surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>Retrospective observational study<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with cataract who underwent phacoemulsification and intraocular lens (IOL) implantation at Iwate Medical University Hospital were enrolled. Using surgical videos and records, these eyes were classified either as eyes with normal zonuls (NZ) or weak zonuls (WZ). To clarify the effects of \u0394LT and \u0394AL on m-\u0394ACD in the NZ group, multiple linear regression analysis was performed. Using this regression equation, the p-\u0394ACD was calculated for all cases. \u0394ACD residual was calculated by subtracting the p-\u0394ACD from the m-\u0394ACD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 1286 patients, 56 eyes were classified as having WZ. The ACD and \u0394ACD in the WZ group were significantly shallower and larger than those in the NZ group, respectively. The absolute \u0394ACD residuals of the WZ group were significantly larger than those of the NZ group. The absolute \u0394ACD residuals were greater as the degree of zonular weakness increased. ROC curve analysis revealed that the AUC of absolute \u0394ACD residual for detection of WZ was 0.743, superior to that of ACD (0.631) and \u0394ACD (0.623). Moreover, the AUC for the negative \u0394ACD residual group was 0.830.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings suggest that comparing the p-\u0394ACD with the m-\u0394ACD may improve the detection ability for zonular weakness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10384-026-01411-7","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T07:18:13Z","timestamp":1787296693000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Improvement of the detection ability for zonular weakness before cataract surgery by comparing predicted and measured left-right differences in anterior chamber depth"],"prefix":"10.1007","author":[{"given":"Machi","family":"Iso","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kouhei","family":"Hashizume","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shota","family":"Kamei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuya","family":"Hashiura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiyasu","family":"Imaizumi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daijiro","family":"Kurosaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"key":"1411_CR1","first-page":"860","volume":"51","author":"H Yuan","year":"2025","unstructured":"Yuan H, Jiang X, Liu Z, Li X. Lens morphology in cataract patients with zonular dialysis by AS-OCT. J Cataract Refract Surg. 2025;51:860\u20136.","journal-title":"J Cataract Refract Surg"},{"key":"1411_CR2","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1097\/j.jcrs.0000000000001580","volume":"51","author":"AM Elhusseiny","year":"2025","unstructured":"Elhusseiny AM, Ibrahim SN, Toma J, Yang YC, Sallam AB. Risk of zonular dialysis in fellow eye cataract surgeries: multicenter comparative study. J Cataract Refract Surg. 2025;51:204\u20139.","journal-title":"J Cataract Refract Surg"},{"key":"1411_CR3","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1080\/02713683.2024.2421929","volume":"50","author":"AM Elhusseiny","year":"2025","unstructured":"Elhusseiny AM, Toma J, Fouad YA, Soliman MK, Ibrahim SN, Shakarchi AF, et al. Outcomes of cataract surgery complicated with zonular dialysis: a multicenter comparative study. Curr Eye Res. 2025;50:258\u201363.","journal-title":"Curr Eye Res"},{"key":"1411_CR4","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1016\/j.jcjo.2022.12.001","volume":"59","author":"F Aiello","year":"2024","unstructured":"Aiello F, Rampat R, Gallo Afflitto G, Din N, Mandal N, Maurino V. Zonular dialysis and cataract surgery: results from a UK tertiary eye care referral centre. Can J Ophthalmol. 2024;59:67\u201372.","journal-title":"Can J Ophthalmol"},{"key":"1411_CR5","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1016\/j.aopr.2023.02.002","volume":"3","author":"Y Pan","year":"2023","unstructured":"Pan Y, Liu Z, Zhang H. Research progress of lens zonules. Adv Ophthalmol Pract Res. 2023;3:80\u20135.","journal-title":"Adv Ophthalmol Pract Res"},{"key":"1411_CR6","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0176169","volume":"12","author":"S Yaguchi","year":"2017","unstructured":"Yaguchi S, Yaguchi S, Yagi-Yaguchi Y, Kozawa T, Bissen-Miyajima H. Objective classification of zonular weakness based on lens movement at the start of capsulorhexis. PLoS ONE. 2017;12:e0176169.","journal-title":"PLoS ONE"},{"key":"1411_CR7","doi-asserted-by":"publisher","first-page":"931","DOI":"10.1097\/IJG.0000000000002385","volume":"33","author":"J Huang","year":"2024","unstructured":"Huang J, Huang C. Zonulopathy and its relation to primary angle closure disease: a review. J Glaucoma. 2024;33:931\u20139.","journal-title":"J Glaucoma"},{"key":"1411_CR8","doi-asserted-by":"publisher","first-page":"296","DOI":"10.1007\/s10384-025-01284-2","volume":"70","author":"S Kamei","year":"2026","unstructured":"Kamei S, Hashizume K, Kizawa J, Kurosaka D. Detection of a white cataract with elevated intralenticular pressure using an optical biometer based on swept-source optical coherence tomography. Jpn J Ophthalmol. 2026;70:296\u2013303.","journal-title":"Jpn J Ophthalmol"},{"key":"1411_CR9","doi-asserted-by":"publisher","first-page":"1410689","DOI":"10.3389\/fmed.2024.1410689","volume":"11","author":"X Wang","year":"2024","unstructured":"Wang X, Wang Q, Song W, Yang Y, Zhang R, Lifen G, et al. Ocular manifestations for misdiagnosing acute angle closure secondary to lens subluxation. Front Med (Lausanne). 2024;11:1410689.","journal-title":"Front Med (Lausanne)"},{"key":"1411_CR10","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2021.738745","volume":"8","author":"Q Jing","year":"2021","unstructured":"Jing Q, Chen T, Chen Z, Lan L, Zhao C, Jiang Y. Ocular Manifestations of Acute Secondary Angle Closure Associated With Lens Subluxation. Front Med (Lausanne). 2021;8:738745.","journal-title":"Front Med (Lausanne)"},{"key":"1411_CR11","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2024.e28644","volume":"10","author":"Y Zhang","year":"2024","unstructured":"Zhang Y, Zhang H, Song X, Liu M, Wang N, Qiao C. Proportion and risk factors of zonulopathy in patients with age-related cataract. Heliyon. 2024;10:e28644.","journal-title":"Heliyon"},{"key":"1411_CR12","doi-asserted-by":"publisher","DOI":"10.1186\/s12886-024-03462-1","volume":"24","author":"X-T Pei","year":"2024","unstructured":"Pei X-T, Wang S-H, Qing G-P, Yu X-W, Shi Y, Yang W-L, et al. Zonular instability-associated morphologic features in eyes with primary angle closure disease using the swept-source anterior segment - optical coherence tomography system. BMC Ophthalmol. 2024;24:203.","journal-title":"BMC Ophthalmol"},{"key":"1411_CR13","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1186\/s12886-020-01355-7","volume":"20","author":"X Xing","year":"2020","unstructured":"Xing X, Huang L, Tian F, Zhang Y, Lv Y, Liu W, et al. Biometric indicators of eyes with occult lens subluxation inducing secondary acute angle closure. BMC Ophthalmol. 2020;20:87.","journal-title":"BMC Ophthalmol"},{"key":"1411_CR14","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1016\/S0002-9394(99)00365-7","volume":"129","author":"M K\u00fcchle","year":"2000","unstructured":"K\u00fcchle M, Viestenz A, Martus P, H\u00e4ndel A, J\u00fcnemann A, Naumann GO. Anterior chamber depth and complications during cataract surgery in eyes with pseudoexfoliation syndrome. Am J Ophthalmol. 2000;129:281\u20135.","journal-title":"Am J Ophthalmol"},{"key":"1411_CR15","doi-asserted-by":"publisher","first-page":"1193","DOI":"10.1136\/bjo-2023-324832","volume":"108","author":"K Hayashi","year":"2024","unstructured":"Hayashi K, Yoshida M, Manabe S-I, Hirata A. High-risk factors for zonular complications during cataract surgery in eyes with pseudoexfoliation syndrome. Br J Ophthalmol. 2024;108:1193\u20139.","journal-title":"Br J Ophthalmol"},{"key":"1411_CR16","doi-asserted-by":"publisher","first-page":"7425","DOI":"10.2147\/IJGM.S558791","volume":"18","author":"Q Wang","year":"2025","unstructured":"Wang Q, Wang X, Huang B, Liu Y, Zhang S, Lu H. Ocular biometric parameters of acute primary angle closure with varying degrees of lens zonular laxity. Int J Gen Med. 2025;18:7425\u201332.","journal-title":"Int J Gen Med"},{"key":"1411_CR17","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1007\/s10792-021-02020-8","volume":"42","author":"C Albarr\u00e1n-Diego","year":"2022","unstructured":"Albarr\u00e1n-Diego C, Poyales F, L\u00f3pez-Artero E, Garz\u00f3n N, Garc\u00eda-Montero M. Interocular biometric parameters comparison measured with swept-source technology. Int Ophthalmol. 2022;42:239\u201351.","journal-title":"Int Ophthalmol"},{"key":"1411_CR18","doi-asserted-by":"publisher","first-page":"1654191","DOI":"10.3389\/fmed.2025.1654191","volume":"12","author":"C Zheng","year":"2025","unstructured":"Zheng C, Geng W, Ma R, Hao X, Niu Y, Cao D, et al. Distribution patterns and determinants of the lens thickness-to-anterior chamber depth ratio in cataract patients. Front Med (Lausanne). 2025;12:1654191.","journal-title":"Front Med (Lausanne)"},{"key":"1411_CR19","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0269709","volume":"17","author":"A Langenbucher","year":"2022","unstructured":"Langenbucher A, Szentm\u00e1ry N, Cayless A, R\u00f6ggla V, Leydolt C, Wendelstein J, et al. Similarity of eyes in a cataractous population-How reliable is the biometry of the fellow eye for lens power calculation? PLoS ONE. 2022;17:e0269709.","journal-title":"PLoS ONE"},{"key":"1411_CR20","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1111\/aos.13110","volume":"95","author":"BJ Shingleton","year":"2017","unstructured":"Shingleton BJ, Neo YN, Cvintal V, Shaikh AM, Liberman P, O\u2019Donoghue MW. Outcome of phacoemulsification and intraocular lens implantion in eyes with pseudoexfoliation and weak zonules. Acta Ophthalmol. 2017;95:182\u20137.","journal-title":"Acta Ophthalmol"},{"key":"1411_CR21","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1097\/ICU.0000000000000826","volume":"33","author":"N Venkateswaran","year":"2022","unstructured":"Venkateswaran N, Henderson BA. Loose zonules in cataract surgery. Curr Opin Ophthalmol. 2022;33:53\u20137.","journal-title":"Curr Opin Ophthalmol"},{"key":"1411_CR22","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1186\/s12886-021-01932-4","volume":"21","author":"Q Lei","year":"2021","unstructured":"Lei Q, Tu H, Feng X, Ortega-Usobiaga J, Cao D, Wang Y. Distribution of ocular biometric parameters and optimal model of anterior chamber depth regression in 28,709 adult cataract patients in China using swept-source optical biometry. BMC Ophthalmol. 2021;21:178.","journal-title":"BMC Ophthalmol"},{"key":"1411_CR23","doi-asserted-by":"publisher","first-page":"1542","DOI":"10.1038\/eye.2008.315","volume":"23","author":"MR Praveen","year":"2009","unstructured":"Praveen MR, Vasavada AR, Shah SK, Shah CB, Patel UP, Dixit NV, et al. Lens thickness of Indian eyes: impact of isolated lens opacity, age, axial length, and influence on anterior chamber depth. Eye (Lond). 2009;23:1542\u20138.","journal-title":"Eye (Lond)"},{"key":"1411_CR24","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1186\/s40662-021-00245-3","volume":"8","author":"J Meng","year":"2021","unstructured":"Meng J, Wei L, He W, Qi J, Lu Y, Zhu X. Lens thickness and associated ocular biometric factors among cataract patients in Shanghai. Eye Vis (Lond). 2021;8:22.","journal-title":"Eye Vis (Lond)"},{"key":"1411_CR25","doi-asserted-by":"publisher","first-page":"179","DOI":"10.3109\/03091902.2014.899401","volume":"38","author":"Y Li","year":"2014","unstructured":"Li Y, Bao FJ. Interocular symmetry analysis of bilateral eyes. J Med Eng Technol. 2014;38:179\u201387.","journal-title":"J Med Eng Technol"},{"key":"1411_CR26","doi-asserted-by":"publisher","DOI":"10.1136\/bmjophth-2024-002114","volume":"10","author":"L Cheng","year":"2025","unstructured":"Cheng L, Hong J, Chen H, Ling Y, Lin S, Huang J, et al. Deep learning-based automatic differentiation of acute angle closure with or without zonulopathy using ultrasound biomicroscopy: a comparison of diagnostic performance with ophthalmologists. BMJ Open Ophthalmol. 2025;10:e002114.","journal-title":"BMJ Open Ophthalmol"},{"key":"1411_CR27","doi-asserted-by":"publisher","first-page":"4739","DOI":"10.1007\/s10792-023-02874-0","volume":"43","author":"O Buhbut","year":"2023","unstructured":"Buhbut O, Achiron A, Knyazer B, Kantor S, Shinar C, Abayev L, et al. Risk factors for a phacodonesis surprise during cataract surgery in patients with pseudoexfoliation. Int Ophthalmol. 2023;43:4739\u201346.","journal-title":"Int Ophthalmol"},{"key":"1411_CR28","doi-asserted-by":"publisher","first-page":"25","DOI":"10.4097\/kja.21209","volume":"75","author":"FS Nahm","year":"2022","unstructured":"Nahm FS. Receiver operating characteristic curve: overview and practical use for clinicians. Korean J Anesthesiol. 2022;75:25\u201336.","journal-title":"Korean J Anesthesiol"}],"container-title":["Japanese Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10384-026-01411-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10384-026-01411-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10384-026-01411-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T20:02:30Z","timestamp":1787342550000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10384-026-01411-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,21]]},"references-count":28,"alternative-id":["1411"],"URL":"https:\/\/doi.org\/10.1007\/s10384-026-01411-7","relation":{},"ISSN":["0021-5155","1613-2246"],"issn-type":[{"value":"0021-5155","type":"print"},{"value":"1613-2246","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,21]]},"assertion":[{"value":"12 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"M. Iso, None; K. Hashizume, None; S. Kamei, None; T. Hashiura, None; T. Imaizumi, None; D. Kurosaka, None.","order":1,"name":"Ethics","label":"Conflicts of interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}