{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T22:35:51Z","timestamp":1792449351803,"version":"4.5.0"},"reference-count":41,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To investigate predictors for myopic shift after pediatric cataract surgery after at least 3 years follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cross-sectional and retrospective study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study included patients treated for congenital or infantile cataract operated up to 5 years of age between 2010 and 2017. Patients were recruited for ophthalmologic evaluation. Surgical and medical data were acquired in medical charts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Analysis:<\/jats:title>\n                    <jats:p>Univariate and multivariate regressions were performed to look for potential risk factors for myopic shift.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      This study evaluated 81 eyes of 50 patients, with 62 (77%) being bilateral cases, 48 (59%) with intraocular lens implantation, and 37 (74%) patients being strabismic. Age at surgery was 7.7 (3.7\u201330.5) months and at evaluation was 93.5 (55.1\u2013113.0) months. Total myopic shift was -4.32 \u00b1 3.25 D, significantly greater in patients operated on up to 6 months of life (-5.73 \u00b1 3.14 D). The distant best-corrected visual acuity (BCVA) was 0.6 (0.3\u20131.0) log of minimum angle of resolution (logMAR). Regarding myopic shift, in univariate analysis, older age at surgery is a protective factor (+0.08 D for each month older,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001). The presence of strabismus (-2.52 D,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.014), aphakia (-2.45 D,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.006), distant BCVA (-0.15 D per 0.1 logMAR,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.024), and surgical complications (-3.02 D,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001) are risk factors. In multivariate analysis, older age at surgery (+0.06 D,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.012) and surgical complications (-2.52 D,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001) remain significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In pediatric cataract surgery, myopic shift is greater when surgery is performed in a younger age and if associated with surgical complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_212_24","type":"journal-article","created":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T13:00:12Z","timestamp":1723640412000},"page":"S734-S740","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Myopic shift in pediatric cataract surgery associated with age and surgical complications"],"prefix":"10.4103","volume":"72","author":[{"given":"Celso","family":"Menezes Filho","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, Ribeir\u00e3o Preto Medical School, University of S\u00e3o Paulo, Ribeir\u00e3o Preto, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre","family":"Messias","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, Ribeir\u00e3o Preto Medical School, University of S\u00e3o Paulo, Ribeir\u00e3o Preto, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo Henrique F","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Statistics, Federal University of Bahia, Salvador, Bahia, 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