“…In contrast to cross-sectional studies of the general population, mostly reporting an increase in K mean , reduction in AL, negative shift in J 0 or similar refractive changes, [29][30][31][32][33]35,36 this study did not find any significant age-related changes. However, being cross-sectional and only including cataractous eyes, the influence of cohort effects and selection bias cannot be excluded, so not much weight can be placed on this.…”