September 11, 2026 · Journal of cataract and refractive surgery · DOI: 10.1097/j.jcrs.0000000000002060

Age-related Fragility of the Anterior Lens Capsule: A Histopathologic Study of 244 Cataract Surgery Cases

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The authors aimed to identify clinical and biometric factors associated with histopathological splitting of the anterior lens capsule in patients undergoing cataract surgery. Their study of 244 cases found that older age was the primary factor linked to capsular splitting, with additional associations noted for nuclear hardness, axial length, and lens thickness. The findings suggest that the anterior lens capsule weakens progressively with age, highlighting the importance of age in cataract surgery outcomes.

Masanobu Iida, Yoichiro Masuda, Mari Yamazaki, Kosuke Ichihara, Koji Komatsu, Ai Iwauchi, Hoshiho Kubota, Masayuki Shimoda, Tadashi Nakano

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