{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T05:04:23Z","timestamp":1789362263687,"version":"build-2803163510"},"reference-count":7,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012151","name":"Sanming Project of Medicine in Shenzen Municipality","doi-asserted-by":"publisher","award":["SZSM202311012"],"award-info":[{"award-number":["SZSM202311012"]}],"id":[{"id":"10.13039\/501100012151","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100017610","name":"Shenzhen Science and Technology Innovation Program","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100017610","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>This report presents a 5-year-old boy with unilateral congenital cataract and posterior lenticonus, where wavefront aberrometry objectively quantified lenticular aberrations to resolve surgical timing uncertainty. Despite 0.3 corrected visual acuity and paracentral opacity, iTrace analysis revealed severe intraocular aberrations (high-order aberrations\u2009=\u20091.426\u2005\u03bcm, dysfunctional lens index\u2009=\u20090.34,) uncorrectable with spectacles or mydriasis. One month following phacoemulsification with primary IOL implantation, the best-corrected visual acuity (BCVA) improved from 0.3 to 0.8. Aberrometry provides critical functional data to supplement morphological assessment in borderline pediatric cataracts, optimizing developmental visual outcomes.<\/jats:p>","DOI":"10.3389\/fmed.2026.1911201","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T04:31:54Z","timestamp":1789360314000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Ocular wavefront aberrometry as an adjunct in surgical decision-making for pediatric posterior polar cataract with posterior lenticonus: a case report"],"prefix":"10.3389","volume":"13","author":[{"given":"Yu","family":"Zhang","sequence":"first","affiliation":[{"name":"Shenzhen Eye Hospital, Shenzhen Eye Medical Center, Southern Medical University","place":["Shenzhen, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanyu","family":"Shen","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhe","family":"Zhang","sequence":"additional","affiliation":[{"name":"Shenzhen Eye Hospital, Shenzhen Eye Medical Center, Southern Medical University","place":["Shenzhen, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1097\/j.jcrs.0000000000001557","article-title":"Myopic shift after primary intraocular lens implantation in unilateral cataract children and its association with preoperative ocular parameters","volume":"51","author":"Li","year":"2025","journal-title":"J Cataract Refract Surg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1642","DOI":"10.1016\/j.jcrs.2004.02.048","article-title":"Higher-order aberrations of lenticular opacities","volume":"30","author":"Sachdev","year":"2004","journal-title":"J Cataract Refract Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1016\/j.jcrs.2018.08.035","article-title":"Straylight in posterior polar cataract","volume":"45","author":"De Jong","year":"2019","journal-title":"J Cataract Refract Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"578","DOI":"10.1364\/JOSAA.24.000578","article-title":"Three-dimensional relationship between high-order root-mean-square wavefront error, pupil diameter, and aging","volume":"24","author":"Applegate","year":"2007","journal-title":"J Opt Soc Am A Opt Image Sci Vis"},{"key":"B5","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1186\/s12886-018-0904-1","article-title":"Utility of the optical quality analysis system for decision-making in cataract surgery","volume":"18","author":"Hwang","year":"2018","journal-title":"BMC Ophthalmol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1016\/j.ajo.2022.04.018","article-title":"Visual function in children with posterior Lens opacities before and after surgery","volume":"241","author":"Chen","year":"2022","journal-title":"Am J Ophthalmol"},{"key":"B7","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1097\/OPX.0000000000001160","article-title":"Higher-order aberrations in children and adolescents of southwest China","volume":"95","author":"Zhang","year":"2018","journal-title":"Optom Vis Sci"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1911201\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T04:32:09Z","timestamp":1789360329000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1911201\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,14]]},"references-count":7,"alternative-id":["10.3389\/fmed.2026.1911201"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2026.1911201","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,14]]},"article-number":"1911201"}}