April 22, 2026 · Journal of cataract and refractive surgery · DOI: 10.1097/j.jcrs.0000000000001843

Effect of pupillary dilation on ocular biometry and intraocular lens power calculation: prospective cohort study

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The authors aimed to investigate how pupillary dilation affects ocular biometry and intraocular lens (IOL) power calculations in cataract surgery patients. They found that dilation caused significant biometric changes and a small myopic shift in prediction errors for IOL power calculations, although the overall predictive accuracy of modern IOL formulas remained unaffected. The study suggests that while pupillary dilation influences some measurements, it does not substantially alter the reliability of IOL power predictions.

Liangjia Zeng, Yuke Pan, Mingfeng Lu, Yujie Tian, Wenlu Yu, Haorui Yuan, Xiaofei Hu, Jiaqing Zhang, Lixia Luo, Xuhua Tan

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