{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T16:55:46Z","timestamp":1770137746350,"version":"3.49.0"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,9,29]],"date-time":"2016-09-29T00:00:00Z","timestamp":1475107200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To assess the outcomes of sulcus implantation of the Visian<jats:sup>\u00ae<\/jats:sup> implantable collamer lens (<jats:styled-content style=\"fixed-case\">ICL<\/jats:styled-content>) to correct pseudophakic myopic anisometropic amblyopia with myopic shift and\/or primary refractive overcorrection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospective case series enrolled 14 pseudophakic eyes of 14 patients, 5\u20139\u00a0years old, with history of cataract surgery and primary in the bag\u2010intraocular lenses (<jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content>) implantation, followed by myopic shift and\/or refractive overcorrection and anisometropic amblyopia of variable degrees. All cases had implantation of a piggyback <jats:styled-content style=\"fixed-case\">ICL<\/jats:styled-content>\/toric ICL, to correct the myopia\/myopic astigmatism. Preoperatively, we evaluated the uncorrected distance visual acuity (UCVA), corrected distance visual acuity (<jats:styled-content style=\"fixed-case\">CDVA<\/jats:styled-content>), manifest refraction spherical equivalent (<jats:styled-content style=\"fixed-case\">MRSE<\/jats:styled-content>), intraocular pressure (<jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content>) and endothelial cell density (<jats:styled-content style=\"fixed-case\">ECD<\/jats:styled-content>). We assessed the position and vaulting of the <jats:styled-content style=\"fixed-case\">ICL<\/jats:styled-content>s on slit lamp examination and confirmed by Scheimpflug tomography. Postoperative follow\u2010up was at 1st week and 1, 3, 6, 9, 12, 18 and 24\u00a0months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Uncorrected distance visual acuity improved in all cases, and <jats:styled-content style=\"fixed-case\">CDVA<\/jats:styled-content> improved in 11 amblyopic eyes (2\u20134 lines). There was no evidence of interlenticular opacification (<jats:styled-content style=\"fixed-case\">ILO<\/jats:styled-content>) throughout the 2\u2010year follow\u2010up. Two cases were complicated with early postoperative acute elevation of <jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content> and were controlled with topical beta\u2010blockers. Postoperative acute anterior uveitis occurred in six eyes and controlled by topical steroids. Implantable collamer lens (ICL) vault was measured using Pentacam, with mean value of 470\u00a0\u00b1\u00a0238\u00a0<jats:italic>\u03bc<\/jats:italic>m.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Sulcus implantation of the secondary piggyback <jats:styled-content style=\"fixed-case\">ICL<\/jats:styled-content> to correct unilateral pseudophakic myopic refractive error in children was safe, efficient, predictable and well tolerated in management of anisometropic amblyopia in all eyes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.13203","type":"journal-article","created":{"date-parts":[[2016,9,29]],"date-time":"2016-09-29T15:28:41Z","timestamp":1475162921000},"page":"188-193","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Management of pseudophakic myopic anisometropic amblyopia with piggyback Visian<sup>\u00ae<\/sup> implantable collamer lens"],"prefix":"10.1111","volume":"95","author":[{"given":"Sherif A.","family":"Eissa","sequence":"first","affiliation":[{"name":"Faculty of medicine Kasr Al Ainy Ophthalmology department Cairo University Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,9,29]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20100831-01"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-620X.53035"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S5710"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(96)80007-1"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(98)91862-0"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(00)00858-0"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fncel.2011.00025"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(00)00492-X"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.13107"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2008.03.029"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2008.12.028"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(01)01156-7"},{"key":"e_1_2_5_14_1","first-page":"277","article-title":"Prospective analysis of pediatric pseudophakia: myopic shift and postoperative outcomes","volume":"6","author":"Eric R","year":"2002","journal-title":"JAAPOS"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20110617-01"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(99)90005-2"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1985.01050060045020"},{"key":"e_1_2_5_18_1","first-page":"1","article-title":"How to prevent refractive surprise","volume":"10","author":"Holladay JT","year":"1999","journal-title":"Rev Ophthalmol 6:97\u201398"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(01)01025-2"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2009.08.018"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20100512-02"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2005.03.062"},{"key":"e_1_2_5_23_1","doi-asserted-by":"crossref","first-page":"519","DOI":"10.3928\/1081-597X-20020901-05","article-title":"Phakic intraocular lens to correct high myopia amblyopia in children","volume":"18","author":"Lesueur LC","year":"2002","journal-title":"J Refract Surg"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(98)80304-0"},{"key":"e_1_2_5_25_1","first-page":"2","article-title":"Piggybacking with the Sulcoflex","volume":"1","author":"Mohamad IK","year":"2010","journal-title":"J Cataract Refract Surg today Europe. 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