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To investigate the characteristics and factors associated with crystalline lens tilt and decentration measured by Casia2 anterior segment optical coherence tomography (AS-OCT). Zhongshan Ophthalmic Centre, Sun Yat-sen University, Guangzhou, China. This is a cross-sectional study. One thousand and ninety-seven eyes of 1097 patients who plan to undergo cataract surgery were enrolled. All patients underwent a general ophthalmologic examination. Lens thickness (LT), front curvature radius (FCR), back curvature radius (BCR), lens equator dia