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Thorough preoperative assessment and surgical preparation optimise postoperative outcomes in these cases. Advances in IOL power calculation, including artificial intelligence\u2010driven formulas, improve accuracy; however, careful consideration of biometry and IOL power selection is still necessary because inaccuracies can produce significant errors. Limited availability of high\u2010powered IOLs to fully correct high refractive errors may necessitate further intervention. Surgical techniques have evolved to address the unique anatomical challenges of small eyes, improving safety and outcomes. Knowledge of the potential risks inherent in these cases can assist the surgeon in modifying the operative technique accordingly. This review discusses essential preoperative assessments, IOL power selection, surgical techniques, and potential complications, offering guidance for surgeons performing cataract surgery on small adult eyes.<\/jats:p>","DOI":"10.1111\/ceo.14510","type":"journal-article","created":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T13:29:38Z","timestamp":1741094978000},"page":"558-569","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Cataract Surgery in the Small Adult Eye: A Review"],"prefix":"10.1111","volume":"53","author":[{"given":"Jonathan E.","family":"Moore","sequence":"first","affiliation":[{"name":"Cathedral Eye Clinic  Belfast Northern Ireland UK"},{"name":"Tianjin Medical University  Tianjin China"},{"name":"College of Health and Life Sciences Aston University  Birmingham UK"},{"name":"School of Mathematics and Physics Queens University Belfast  Belfast Northern Ireland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2606-3582","authenticated-orcid":false,"given":"Richard N.","family":"McNeely","sequence":"additional","affiliation":[{"name":"Cathedral Eye Clinic  Belfast Northern Ireland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salissou","family":"Moutari","sequence":"additional","affiliation":[{"name":"School of Mathematics and Physics Queens University Belfast  Belfast Northern Ireland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,4]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjophth-2020-000464"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aopr.2021.100008"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics12020243"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1201\/9781003525004-10"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2011.12.006"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-9071.2012.02810.x"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2003.07.009"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0000000000000673"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S344465"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/8853811"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2015.10.008"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(00)00240-2"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.18240\/ijo.2024.02.23"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archophthalmol.2011.129"},{"issue":"1","key":"e_1_2_15_16_1","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1097\/ICU.0000000000000913","article-title":"Cataract Surgery in Adult Eyes With Short Axial Length","volume":"34","author":"Elhusseiny A. 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