{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:59:59Z","timestamp":1753891199514,"version":"3.41.2"},"reference-count":30,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,4,15]],"date-time":"2022-04-15T00:00:00Z","timestamp":1649980800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>By reporting clinical characteristics and retinal image quality before and after refractive lens replacement surgery in early-onset high myopia (eoHM) patients presenting with partial cataract, we emphasized the need for an objective way to grade the severity of partial cataracts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective, consecutive case series included six Chinese patients (nine eyes). Analysis of previous medical records, visual acuity, optometry, retinal image quality, and axial length (AXL) before surgery and after surgery was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five females and one male (nine eyes) with a mean (\u00b1 SD) age of 11.6 \u00b1 7.9 years (range: 4\u201325 years) were included in this study. The preoperative spherical power ranged from \u22127.5 to \u221242 D. The mean follow-up time was 36 months (range: 24\u201348 months). Phacoemulsification was followed by in-the-bag implantation of intraocular lens. For patients who were under 6 years old, posterior capsulotomy + anterior vitrectomy were performed simultaneously. All surgeries were uneventful and no postoperative complications occurred during the entire follow-up period. All patients\u2019 uncorrected visual acuity improved by \u22652 lines postoperatively(Snellen acuity). LogMAR best-corrected visual acuity was improved at 24-month (<jats:italic>P<\/jats:italic>= 0.042) and endpoint (<jats:italic>P<\/jats:italic>= 0.046) follow-ups. Modulation transfer function cutoff frequency (MTF<jats:sub>cutoff<\/jats:sub>) and objective scatter index (OSI) was significantly improved at 12-month (<jats:italic>P<\/jats:italic>= 0.025,<jats:italic>P<\/jats:italic>= 0.038), 24-month (<jats:italic>P<\/jats:italic>= 0.005,<jats:italic>P<\/jats:italic>= 0.007) and endpoint (<jats:italic>P<\/jats:italic>= 0.005,<jats:italic>P<\/jats:italic>= 0.008) follow-ups. Postoperative AXL remained stable during 2\u20134 year follow-ups (<jats:italic>P<\/jats:italic>&amp;gt; 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Refractive lens replacement surgery is safe and effective for improving functional vision in eoHM patients presenting with partial cataract. Retinal image quality could provide a useful and objective way to facilitate partial cataract severity evaluation and surgery decision making.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2022.739197","type":"journal-article","created":{"date-parts":[[2022,4,15]],"date-time":"2022-04-15T05:25:33Z","timestamp":1650000333000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Refractive Lens Exchange Surgery in Early-Onset High Myopia Patients With Partial 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