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ved compared with the baseline [all P0.05), but there was significant difference in the occurrence of IOL glistening (P=0.04). Conclusion The long-term effect of A1-UV aspheric IOL on improving the UCDVA is stable and good, with high subjective satisfaction of patients, a low incidence of PCO, no glistening and good biocompatibility, over the postoperative 5 years. (Chin J Ophthalmol, 2021, 57 41-47).Objective To investigate the changes of axial length, corneal refractive power, and refractive state in infants with congenital cataract