{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:26Z","timestamp":1753877246742,"version":"3.41.2"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,3,11]],"date-time":"2024-03-11T00:00:00Z","timestamp":1710115200000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>An 80-year-old woman presented with painless blurring of vision and monocular diplopia in her left eye following routine phacoemulsification and monofocal intraocular lens (IOL) implantation 5\u00a0weeks earlier. Her uncorrected visual acuity (VA) was 6\/60 correctable with pinhole to 6\/21. Her best-corrected VA was 6\/15 with a subjective refraction of \u22120.50DS\/\u22125.25DCx37. Her corneal astigmatism was \u22121.25DCx74. Ophthalmic examination disclosed a severely tilted single-piece posterior chamber IOL in the capsular bag. The inferior portion of the optic was tilted posteriorly because of a twisted and malpositioned haptic. The patient underwent remedial surgery to untwist and reposition the IOL haptic which led to immediate improvement of the IOL position. Her uncorrected VA improved to 6\/12\u22122 correctable with pinhole to 12+1 with an autorefraction of +0.25DS\/\u22122.00DCx74 on the first postoperative day. One month postoperatively, her best-corrected VA was 6\/12 with a refraction of +0.50DS\/\u22122.50DCx82. Her final vision was limited by myopic macular degeneration.<\/jats:p>","DOI":"10.1093\/jscr\/rjae134","type":"journal-article","created":{"date-parts":[[2024,3,11]],"date-time":"2024-03-11T23:32:40Z","timestamp":1710199960000},"source":"Crossref","is-referenced-by-count":0,"title":["Severe astigmatism secondary to large intraocular lens pantoscopic tilt because of a malpositioned haptic following cataract surgery"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0531-0318","authenticated-orcid":false,"given":"Jonathan T W","family":"Au Eong","sequence":"first","affiliation":[{"name":"Lee Kong Chian School of Medicine, Nanyang Technological University , 11 Mandalay Road, 308232 , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9583-7628","authenticated-orcid":false,"given":"Jarryl H J","family":"Tsai","sequence":"additional","affiliation":[{"name":"Lee Kong Chian School of Medicine, Nanyang Technological University , 11 Mandalay Road, 308232 , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7373-8925","authenticated-orcid":false,"given":"Kah-Guan","family":"Au Eong","sequence":"additional","affiliation":[{"name":"Lee Kong Chian School of Medicine, Nanyang Technological University , 11 Mandalay Road, 308232 , Singapore"},{"name":"International Eye Cataract Retina Centre, Mount Elizabeth Medical Centre and Farrer Park Medical Centre , 1 Farrer Park Station Road #14-07\/08, Connexion, 217562 , Singapore"},{"name":"Department of Ophthalmology and Visual Sciences, Khoo Teck Puat Hospital , 90 Yishun Central, 768828 , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,3,11]]},"reference":[{"key":"2024031510531154500_ref1","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1136\/bjo.38.3.156","article-title":"Further experiences of intra-ocular acrylic lens surgery: with a report of more than 100 cases","volume":"38","author":"Ridley","year":"1954","journal-title":"Br J Ophthalmol"},{"key":"2024031510531154500_ref2","doi-asserted-by":"crossref","first-page":"68","DOI":"10.3126\/nepjoph.v3i1.4281","article-title":"Intraocular lens tilt and decentration: a concern for contemporary IOL designs","volume":"3","author":"Ale","year":"2011","journal-title":"Nepal J Ophthalmol"},{"key":"2024031510531154500_ref3","doi-asserted-by":"crossref","first-page":"41","DOI":"10.3390\/vision4030041","article-title":"Effect of intraocular lens tilt and decentration on visual acuity, dysphotopsia and wavefront aberrations","volume":"4","author":"Ashena","year":"2020","journal-title":"Vision (Basel)"},{"key":"2024031510531154500_ref4","doi-asserted-by":"crossref","first-page":"2193","DOI":"10.1016\/j.jcrs.2005.06.053","article-title":"Late in-the-bag intraocular lens dislocation: incidence, prevention, and management","volume":"31","author":"Gimbel","year":"2005","journal-title":"J Cataract Refrac Surg"},{"key":"2024031510531154500_ref5","doi-asserted-by":"crossref","first-page":"3639","DOI":"10.12998\/wjcc.v10.i12.3639","article-title":"Tilt and decentration with various intraocular lenses: a narrative review","volume":"10","author":"Chen","year":"2022","journal-title":"World J Clin Cases"},{"key":"2024031510531154500_ref6","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/s40662-014-0002-2","article-title":"Surgical options for correction of refractive error following cataract surgery","volume":"1","author":"Abdelghany","year":"2014","journal-title":"Eye Vis (Lond)"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/3\/rjae134\/56984148\/rjae134.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/3\/rjae134\/56984148\/rjae134.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T10:53:28Z","timestamp":1710500008000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae134\/7625335"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":6,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3,5]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae134","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2024,3]]},"published":{"date-parts":[[2024,3]]},"article-number":"rjae134"}}