To evaluate the characteristics of ocular biometric parameters in adult Korean patients with cataract.

Department of Ophthalmology, Seoul National University Hospital, Seoul, South Korea.

Retrospective case series.

Ocular biometric values of 5273 eyes of 5273 Korean patients undergoing cataract surgery measured with the IOLMaster 700 at the Seoul National University Hospital between November 2019 and December 2021 were reviewed.

A total of 5273 eyes of 5273 Korean patients were analyzed. The mean ± SD age was 66.1 ± 12.8 years, and 62% were female. Overall, age and ocular biometric parameters were correlated with each other. Particularly, age showed a negative correlation with anterior chamber depth (ACD; r = −0.357), axial length (AL; r = −0.344), and posterior keratometry (PK; r = −0.054) and a positive correlation with lens thickness (LT; r = 0.484), angle α (r = 0.194), total keratometry (TK; r = 0.137), anterior keratometry (AK; r = 0.129), and angle κ (r = 0.071). AL showed a positive correlation with ACD (r = 0.503) and PK (r = 0.339) and a negative correlation with AK (r = −0.342), TK (r = −0.334), LT (r = −0.288), angle α (r = −0.220), and angle κ (r = −0.040). With age, anterior and total corneal astigmatism changed from with-the-rule (WTR) to against-the-rule (ATR) astigmatism. Posterior corneal astigmatism was ATR regardless of age; however, the magnitude decreased with age.

Age showed a significant correlation in the order of LT, ACD, and AL. With age, angle α and κ increased, and total corneal astigmatism changes from WTR to ATR, which is mainly affected by changes in anterior corneal astigmatism. AL showed a significant correlation in the order of ACD, AK, PK, and TK. These data are pertinent for improving the result after cataract surgery, especially when using premium intraocular lenses.