Utilizing SS-OCT and 3D parametric modeling to enhance IOL position prediction in cataract patients with long axial length

PurposeThis study aimed to investigate the biological characteristics of the lens and explore the factors influencing the postoperative position of intraocular lens (IOL) using swept-source optical coherence tomography (SS-OCT) in cataract patients with long axial length (AL).MethodsThis retrospecti...

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Main Authors: Chuang Li, Bin Luo, Xiaoling Luo, Liying Zhang, Qiang Li, Wei Peng
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1604224/full
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author Chuang Li
Bin Luo
Xiaoling Luo
Liying Zhang
Qiang Li
Wei Peng
author_facet Chuang Li
Bin Luo
Xiaoling Luo
Liying Zhang
Qiang Li
Wei Peng
author_sort Chuang Li
collection DOAJ
description PurposeThis study aimed to investigate the biological characteristics of the lens and explore the factors influencing the postoperative position of intraocular lens (IOL) using swept-source optical coherence tomography (SS-OCT) in cataract patients with long axial length (AL).MethodsThis retrospective study enrolled 110 cataract patients who underwent uneventful cataract surgeries. The preoperative and postoperative biometric parameters were obtained using IOLMaster 700. The average lens density (ALD) was analyzed using Fiji ImageJ. The biological characteristics of cataracts were analyzed using three-dimension (3D) parametric modeling software, Pro/Engineer Wildfire 5.0.ResultsThe lens equator position (LEP) showed positive correlation with the preoperative anterior chamber depth (ACD), lens equatorial diameter (LED), and lens vaulting (LV). The postoperative position of the IOL showed positive correlation with the preoperative ACD and LEP (r = 0.432, p < 0.05; r = 0.657, p < 0.05). The LEP demonstrated a higher correlation with the postoperative position of the IOL than with the preoperative ACD (p < 0.05). The LEP displayed the highest correlation with the postoperative position of the IOL (r = 0.686, p < 0.05) in the subgroup of ultra-long eyes (AL ≥ 28.0 mm).ConclusionThe LEP, derived from the SS-OCT and 3D parametric modeling, was a better predictor of postoperative IOL position than the preoperative ACD. This methodology provides a robust basis for accurately predicting the effective lens position in cataract patients with long AL.
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spelling doaj-art-1e7f1f5a24394b6c8ea0cd7c136041092025-08-20T02:35:30ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-06-011210.3389/fmed.2025.16042241604224Utilizing SS-OCT and 3D parametric modeling to enhance IOL position prediction in cataract patients with long axial lengthChuang LiBin LuoXiaoling LuoLiying ZhangQiang LiWei PengPurposeThis study aimed to investigate the biological characteristics of the lens and explore the factors influencing the postoperative position of intraocular lens (IOL) using swept-source optical coherence tomography (SS-OCT) in cataract patients with long axial length (AL).MethodsThis retrospective study enrolled 110 cataract patients who underwent uneventful cataract surgeries. The preoperative and postoperative biometric parameters were obtained using IOLMaster 700. The average lens density (ALD) was analyzed using Fiji ImageJ. The biological characteristics of cataracts were analyzed using three-dimension (3D) parametric modeling software, Pro/Engineer Wildfire 5.0.ResultsThe lens equator position (LEP) showed positive correlation with the preoperative anterior chamber depth (ACD), lens equatorial diameter (LED), and lens vaulting (LV). The postoperative position of the IOL showed positive correlation with the preoperative ACD and LEP (r = 0.432, p < 0.05; r = 0.657, p < 0.05). The LEP demonstrated a higher correlation with the postoperative position of the IOL than with the preoperative ACD (p < 0.05). The LEP displayed the highest correlation with the postoperative position of the IOL (r = 0.686, p < 0.05) in the subgroup of ultra-long eyes (AL ≥ 28.0 mm).ConclusionThe LEP, derived from the SS-OCT and 3D parametric modeling, was a better predictor of postoperative IOL position than the preoperative ACD. This methodology provides a robust basis for accurately predicting the effective lens position in cataract patients with long AL.https://www.frontiersin.org/articles/10.3389/fmed.2025.1604224/fulleffective lens positionlens equator positionintraocular lensbiometric parameter3D modeling
spellingShingle Chuang Li
Bin Luo
Xiaoling Luo
Liying Zhang
Qiang Li
Wei Peng
Utilizing SS-OCT and 3D parametric modeling to enhance IOL position prediction in cataract patients with long axial length
Frontiers in Medicine
effective lens position
lens equator position
intraocular lens
biometric parameter
3D modeling
title Utilizing SS-OCT and 3D parametric modeling to enhance IOL position prediction in cataract patients with long axial length
title_full Utilizing SS-OCT and 3D parametric modeling to enhance IOL position prediction in cataract patients with long axial length
title_fullStr Utilizing SS-OCT and 3D parametric modeling to enhance IOL position prediction in cataract patients with long axial length
title_full_unstemmed Utilizing SS-OCT and 3D parametric modeling to enhance IOL position prediction in cataract patients with long axial length
title_short Utilizing SS-OCT and 3D parametric modeling to enhance IOL position prediction in cataract patients with long axial length
title_sort utilizing ss oct and 3d parametric modeling to enhance iol position prediction in cataract patients with long axial length
topic effective lens position
lens equator position
intraocular lens
biometric parameter
3D modeling
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1604224/full
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