{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T12:47:28Z","timestamp":1782910048515,"version":"3.54.5"},"reference-count":13,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: We aimed to evaluate the relationship between lens thickness (LT) and postoperative outcomes following cataract surgery versus combined cataract\u2013glaucoma procedures in a predominantly Black and Caribbean population, and to assess the utility of LT and the Laroche Glaucoma Risk Calculator in predicting intraocular pressure (IOP) reduction. Methods: This retrospective cohort study included 187 eyes from patients aged \u226550 years that underwent cataract surgery alone or combined cataract\u2013glaucoma surgery (goniotomy or Ahmed retrobulbar\/intraconal tube) at a single center in Queens, New York. Preoperative and \u22653-month postoperative data included IOP, visual acuity (logMAR), medication burden, visual field mean deviation, and anterior segment biometry. Patients were stratified by surgical type, diagnosis, and glaucoma risk. Associations between LT and postoperative IOP reduction were analyzed. Results: Mean LT was 4.53 mm. Greater LT was associated with increased postoperative IOP reduction across all groups. Eyes with LT \u22654.5 mm showed greater IOP reduction compared to LT \u22644.2 mm (2.63 vs. 1.19 mmHg). Combined procedures yielded greater IOP reduction than cataract surgery alone, with the largest decrease in the Ahmed group (\u22124.56 mmHg). Cataract surgery alone produced smaller but significant reductions (\u22121.58 mmHg) and the greatest visual acuity improvement. Medication burden decreased substantially in the combined groups. Patients with angle-closure glaucoma had the highest LT. High-risk patients demonstrated greater IOP reduction than low-risk patients. Conclusions: Increased LT may serve as a predictive biomarker for postoperative IOP reduction. Incorporating LT and the Laroche Glaucoma Risk Calculator into preoperative planning may enhance surgical decision-making and outcomes, particularly in underserved populations.<\/jats:p>","DOI":"10.3390\/jcm15135111","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T10:41:01Z","timestamp":1782902461000},"page":"5111","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Lens Thickness on Outcomes After Cataract Versus Combined Cataract\u2013Glaucoma Surgery in a Predominantly Black Population"],"prefix":"10.3390","volume":"15","author":[{"given":"Devin","family":"Giordano","sequence":"first","affiliation":[{"name":"Advanced Eyecare of New York, New York, NY 10027, USA"},{"name":"School of General Studies, Columbia University in the City of New York, New York, NY 10027, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1155-0021","authenticated-orcid":false,"given":"Jasmine","family":"Okafor","sequence":"additional","affiliation":[{"name":"Advanced Eyecare of New York, New York, NY 10027, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4864-0918","authenticated-orcid":false,"given":"Daniel","family":"Laroche","sequence":"additional","affiliation":[{"name":"Advanced Eyecare of New York, New York, NY 10027, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1167\/iovs.63.1.40","article-title":"Intraocular Pressure and Its Relation to Ocular Geometry: Results From the Gutenberg Health Study","volume":"63","author":"Hoffmann","year":"2022","journal-title":"Investig. Ophthalmol. Vis. Sci."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.ajo.2013.02.003","article-title":"Ocular Biometric Parameters Associated With Intraocular Pressure Reduction After Cataract Surgery in Normal Eyes","volume":"156","author":"Yang","year":"2013","journal-title":"Am. J. Ophthalmol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"574","DOI":"10.4103\/ijo.IJO_1538_21","article-title":"Lowering of Intraocular Pressure after Phacoemulsification in Primary Open-Angle and Angle-Closure Glaucoma: Correlation with Lens Thickness","volume":"70","author":"Kader","year":"2022","journal-title":"Indian J. Ophthalmol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1097\/IIO.0000000000000234","article-title":"Role of Cataract Surgery in the Management of Glaucoma","volume":"58","author":"Ling","year":"2018","journal-title":"Int. Ophthalmol. Clin."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2889","DOI":"10.4103\/ijo.IJO_3007_21","article-title":"A Comparison of Lens Parameters in Patients with Various Subtypes of Primary Angle-Closure Disease and the Normal Population: A Prospective Study","volume":"70","author":"Chakrabarti","year":"2022","journal-title":"Indian J. Ophthalmol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1389","DOI":"10.1016\/S0140-6736(16)30956-4","article-title":"Effectiveness of Early Lens Extraction for the Treatment of Primary Angle-Closure Glaucoma (EAGLE): A Randomised Controlled Trial","volume":"388","author":"Burr","year":"2016","journal-title":"Lancet"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Wang, D., Amoozgar, B., Porco, T., Wang, Z., and Lin, S.C. (2017). Ethnic Differences in Lens Parameters Measured by Ocular Biometry in a Cataract Surgery Population. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0179836"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1097\/IJG.0000000000001996","article-title":"Glaucoma Cascade Screening in a High Risk Afro-Caribbean Haitian Population: A Pilot Study","volume":"31","author":"Chang","year":"2022","journal-title":"J. Glaucoma"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2593","DOI":"10.1167\/iovs.16-19384","article-title":"Lens Position Parameters as Predictors of Intraocular Pressure Reduction After Cataract Surgery in Glaucomatous Versus Nonglaucomatous Eyes","volume":"57","author":"Coh","year":"2016","journal-title":"Investig. Ophthalmol. Vis. Sci."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1080\/02713683.2019.1580375","article-title":"How to Predict Intraocular Pressure Reduction after Cataract Surgery? A Prospective Study","volume":"44","author":"Perez","year":"2019","journal-title":"Curr. 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Surg."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/13\/5111\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T12:02:08Z","timestamp":1782907328000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/13\/5111"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,1]]},"references-count":13,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2026,7]]}},"alternative-id":["jcm15135111"],"URL":"https:\/\/doi.org\/10.3390\/jcm15135111","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,1]]}}}