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Record W4413049059 · doi:10.1016/j.apjo.2025.100229

Update on pediatric cataract surgery

2025· review· en· W4413049059 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueAsia-Pacific Journal of Ophthalmology · 2025
Typereview
Languageen
FieldMedicine
TopicIntraocular Surgery and Lenses
Canadian institutionsUniversité de Montréal
FundersNational Eye InstituteResearch to Prevent Blindness
KeywordsCataract surgeryMedicineOptometryOphthalmologyGeneral surgery

Abstract

fetched live from OpenAlex

Cataracts in infants and children are comparatively rare, but they remain an important cause of potentially lifelong visual impairment, largely because of associated deprivation amblyopia. This is particularly seen in children missed by screening programs and thus presenting late for treatment. However, advances in diagnosis, surgical techniques and amblyopia management have improved the prognosis for most children seen with this condition. This comprehensive review focuses on all aspects of the care required to optimize outcomes. It covers modern genetic investigations, performed to precisely determine underlying cataract etiology, and discusses the use of outcome-based evidence to guide the timing of surgical intervention. The paper also outlines the options available to clinicians for post-operative refractive error correction and compares indications, risks and benefits for the use of contact lenses, spectacles and intraocular lenses (IOL). The challenge of choosing the most appropriate dioptric power of IOL to implant into a growing eye is discussed, as is consideration of types of IOLs that can be considered and the surgical techniques needed. Evidence-based approaches to the clinical management of amblyopia, glaucoma and visual axis opacification, the three most common complications seen following pediatric cataract surgery, are reviewed. Two specific conditions associated with pediatric cataract are discussed in detail--persistent fetal vasculature and ocular trauma. Strategies for assessment, management and surgical treatment of these conditions are reviewed.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.689
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.001
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0050.002
Bibliometrics0.0020.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.051
GPT teacher head0.353
Teacher spread0.302 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it