000149158 001__ 149158
000149158 005__ 20250128150426.0
000149158 0247_ $$2doi$$a10.1097/j.jcrs.0000000000001435
000149158 0248_ $$2sideral$$a139224
000149158 037__ $$aART-2024-139224
000149158 041__ $$aeng
000149158 100__ $$0(orcid)0000-0002-2839-9696$$aJiménez-García, Marta$$uUniversidad de Zaragoza
000149158 245__ $$aBiometric description of 34.589 eyes undergoing cataract surgery: sex differences
000149158 260__ $$c2024
000149158 5060_ $$aAccess copy available to the general public$$fUnrestricted
000149158 5203_ $$aPurpose:
To describe gender differences in the biometric parameters of a large sample of patients with cataract. Cataract surgery has evolved from a vision restoration to a refractive procedure, and population-based studies are vital to optimize normative databases and postsurgical outcomes.
Setting:
Miguel Servet University Hospital, Zaragoza, Spain.
Design:
Retrospective single-center observational study.
Methods:
The study included 34 589 eyes (20 004 patients with cataract). Biometric data were obtained from IOL Master 700 and Pentacam HR. Linear mixed models were used to account for intereye correlation. HofferQST formula was used to calculate the hypothetical distribution of intraocular lens (IOL) power (arbitrary lens; A = 119.2).
Results:
Most biometric variables showed significant differences between sexes (P < .0001), such as 0.53 mm shorter eyes found in females, of which 0.16 mm are explained by shorter aqueous depth. Steeper anterior keratometries (∼0.75 diopter [D]) were found in women, to end up in no difference on anterior astigmatism magnitude, but different orientation (P < .0001). The distribution of IOL power differed between sexes (P < .001), with the interquartile range shifting 1 D toward more powerful lenses in women and odds ratio (power >26 D) = 2.26, P < .0001 (Fisher).
Conclusions:
Large sample size studies provide smaller margin of error, higher power, and controlled risk of reporting false (negative or positive) findings. Highly significant differences between sexes in ocular biometry were found; this supports the idea that including sex as a parameter in IOL calculation should be explored and may improve results. In addition, the distribution of IOL powers was provided, which may be useful for manufacturers and hospital stock planning.
000149158 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000149158 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000149158 700__ $$0(orcid)0000-0002-9250-9060$$aSegura-Calvo, Francisco J.$$uUniversidad de Zaragoza
000149158 700__ $$aPuzo, Martín
000149158 700__ $$aCastro-Alonso, Francisco J.
000149158 700__ $$a$$uUniversidad de Zaragoza
000149158 7102_ $$11013$$2646$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Oftalmología
000149158 7102_ $$12002$$2647$$aUniversidad de Zaragoza$$bDpto. Física Aplicada$$cÁrea Óptica
000149158 773__ $$g50, 7 (2024), 668-675$$pJ. cataract refract. surg.$$tJOURNAL OF CATARACT AND REFRACTIVE SURGERY$$x0886-3350
000149158 8564_ $$s3004333$$uhttps://zaguan.unizar.es/record/149158/files/texto_completo.pdf$$yVersión publicada
000149158 8564_ $$s2006316$$uhttps://zaguan.unizar.es/record/149158/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000149158 909CO $$ooai:zaguan.unizar.es:149158$$particulos$$pdriver
000149158 951__ $$a2025-01-28-15:02:34
000149158 980__ $$aARTICLE