{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T21:14:38Z","timestamp":1773263678154,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,2,11]],"date-time":"2017-02-11T00:00:00Z","timestamp":1486771200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2017,2,11]],"date-time":"2017-02-11T00:00:00Z","timestamp":1486771200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2017,2,11]],"date-time":"2017-02-11T00:00:00Z","timestamp":1486771200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2016,10,24]],"date-time":"2016-10-24T00:00:00Z","timestamp":1477267200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["kjms-online.com","clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Kaohsiung J of Med Scie"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      For eyes with deficient capsular support, intraocular lens (IOL) implantation has long been a technical challenge. Recently, intrascleral fixation of the haptics of a three\u2010piece posterior chamber IOL has become a popular option. In this procedure, externalization of the leading haptic during IOL injection is a stressful step. We present a modified technique to improve the ease and safety of this step. Our modified technique involves IOL injection with a motorized injector with several important modifications described here. With these modifications, a surgeon can easily maintain the correct orientation of the IOL in a well\u2010controlled manner during IOL injection. The records of 13 patients who underwent this technique were retrospectively evaluated. Corrected\u2010distance visual acuity improved significantly after surgery (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05). No postoperative retinal detachment, endophthalmitis, IOL decentration, or vitreous hemorrhage was noted during the follow\u2010up period. In conclusion, the motorized injector\u2010assisted intrascleral IOL fixation technique is a safe and effective alternative to the conventional procedure. This technique makes the process of leading haptic externalization easier and more controllable.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.kjms.2017.01.001","type":"journal-article","created":{"date-parts":[[2017,2,11]],"date-time":"2017-02-11T08:00:54Z","timestamp":1486800054000},"page":"137-143","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Motorized injector\u2010assisted intrascleral intraocular lens fixation"],"prefix":"10.1002","volume":"33","author":[{"given":"Jia\u2010Horung","family":"Hung","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shih\u2010Hao","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu\u2010Ti","family":"Teng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheng\u2010Min","family":"Hsu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,2,11]]},"reference":[{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0b013e32834cd5e5"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2005.06.010"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2007.07.013"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2013.11.003"},{"key":"e_1_2_11_6_2","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1097\/ICU.0b013e32835a939f","article-title":"Glued intraocular lens: a major review on surgical technique and results","volume":"24","author":"Kumar D.A.","year":"2013","journal-title":"Curr Opin Ophthalmol"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2008.04.040"},{"key":"e_1_2_11_8_2","doi-asserted-by":"crossref","first-page":"2051","DOI":"10.1016\/j.jcrs.2009.06.044","article-title":"Needle\u2010guided intrascleral fixation of posterior chamber intraocular lens for aphakia correction","volume":"35","author":"Rodriguez\u2010Agirretxe I.","year":"2009","journal-title":"J Cataract Refract Surg"},{"key":"e_1_2_11_9_2","doi-asserted-by":"crossref","first-page":"788","DOI":"10.1038\/eye.2012.19","article-title":"Trocar\u2010assisted sutureless intrascleral posterior chamber foldable intra\u2010ocular lens fixation","volume":"26","author":"Totan Y.","year":"2012","journal-title":"Eye 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Surg"},{"key":"e_1_2_11_14_2","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1097\/IAE.0b013e31827b6499","article-title":"Transconjunctival sutureless haptic fixation of posterior chamber IOL: a minimally traumatic approach for IOL rescue or secondary implantation","volume":"33","author":"Prasad S.","year":"2013","journal-title":"Retina"},{"key":"e_1_2_11_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2012.08.063"},{"key":"e_1_2_11_16_2","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1097\/IAE.0000000000000101","article-title":"Bimanual intraocular lens rescue with transconjunctival scleral fixation","volume":"34","author":"Feistmann J.A.","year":"2014","journal-title":"Retina"},{"key":"e_1_2_11_17_2","doi-asserted-by":"crossref","first-page":"2099","DOI":"10.1016\/j.jcrs.2014.04.027","article-title":"Implementation of the posterior chamber intraocular lens intrascleral haptic fixation technique (glued intraocular lens) in a United States practice: outcomes and insights","volume":"40","author":"McKee Y.","year":"2014","journal-title":"J Cataract Refract Surg"},{"key":"e_1_2_11_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2013.08.043"},{"key":"e_1_2_11_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2014.08.030"},{"key":"e_1_2_11_20_2","doi-asserted-by":"crossref","first-page":"488","DOI":"10.3928\/1081597X-20150623-08","article-title":"A modified glued transscleral intraocular lens implantation: suture\u2010assisted sutureless technique","volume":"31","author":"Kara N.","year":"2015","journal-title":"J Refract Surg"},{"key":"e_1_2_11_21_2","doi-asserted-by":"crossref","first-page":"1457","DOI":"10.1136\/bjophthalmol-2014-306579","article-title":"Transconjunctival sutureless intrascleral intraocular lens fixation using intrascleral tunnels guided with catheter and 30\u2010gauge needles","volume":"99","author":"Takayama K.","year":"2015","journal-title":"Br J 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