{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T10:51:17Z","timestamp":1786704677750,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,10,8]],"date-time":"2018-10-08T00:00:00Z","timestamp":1538956800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100015738","name":"Mary and Georg C Ehrnrooth Foundation","doi-asserted-by":"crossref","award":["201600013"],"award-info":[{"award-number":["201600013"]}],"id":[{"id":"10.13039\/100015738","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To examine the clinical outcomes of intraocular lens (<jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content>) scleral fixation with the friction knot technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective case series of 152 eyes of 152 patients with inadequate capsular bag support operated with the friction knot <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> scleral fixation technique by a single surgeon. The fixated <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content>s were one\u2010piece or three\u2010piece models all with open loop haptics. Main outcome measures were change in corrected distance visual acuity (<jats:styled-content style=\"fixed-case\">CDVA<\/jats:styled-content>) and postoperative complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean follow\u2010up time was 11.7\u00a0months (median 4.9, range 0.7\u201364.8). The mean logarithm of the minimum angle of resolution <jats:styled-content style=\"fixed-case\">CDVA<\/jats:styled-content> improved from preoperative 0.77\u00a0\u00b1\u00a00.73 (Snellen 20\/118\u00a0\u00b1\u00a07.3 lines) to 0.44\u00a0\u00b1\u00a00.56 (Snellen 20\/55\u00a0\u00b1\u00a05.6 lines) at the final visit (p\u00a0&lt;\u00a00.001). The main postoperative complications were ocular hypertension (30.3%), uveitis\u2013glaucoma\u2013hyphaema syndrome (12.5%; <jats:styled-content style=\"fixed-case\">UGHS<\/jats:styled-content>), vitreous haemorrhage (11.2%) and retinal detachment (8.6%). Two (1.3%) cases of suture breakage were seen. In multivariate Cox regression analysis, age under 60\u00a0years [hazard ratio (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>)\u00a0=\u00a05.41; 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 1.95\u201315.01] and scleral fixated one\u2010piece <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\u00a0=\u00a04.23; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.44\u201312.44) were found as significant independent risk factors for developing new <jats:styled-content style=\"fixed-case\">UGHS<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The friction knot technique provides a firm scleral fixation. Scleral fixation may successfully be utilized in dislocated three\u2010piece <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content>s with loop haptics. We recommend avoiding scleral fixation of one\u2010piece <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content>s in young patients due to a high risk of <jats:styled-content style=\"fixed-case\">UGHS<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.13931","type":"journal-article","created":{"date-parts":[[2018,10,9]],"date-time":"2018-10-09T02:32:35Z","timestamp":1539052355000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Outcomes of intraocular lens scleral fixation with the friction knot technique"],"prefix":"10.1111","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4864-1977","authenticated-orcid":false,"given":"Petri","family":"Aaltonen","sequence":"first","affiliation":[{"name":"Vitreoretinal Surgery Unit Department of Ophthalmology Helsinki University Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pertti","family":"Oskala","sequence":"additional","affiliation":[{"name":"Vitreoretinal Surgery Unit Department of Ophthalmology Helsinki University Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilkka","family":"Immonen","sequence":"additional","affiliation":[{"name":"Vitreoretinal Surgery Unit Department of Ophthalmology Helsinki University Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,8]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-9071.2012.02874.x"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2013-304587"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20130117-10"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2007.07.013"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00917834"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2006.05.029"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.3928\/1081-597X-19970701-16"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0b013e32834cd5e5"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/IAE.0000000000001692"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2018.01.034"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-008-0926-0"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2004.12.056"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/ICB.0000000000000483"},{"key":"e_1_2_5_15_1","first-page":"692","article-title":"Ab externo sulcus fixation","volume":"22","author":"Lewis JS","year":"1991","journal-title":"Ophthalmic Surg"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2013-303625"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2011.02.023"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00347-001-0563-z"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.71.9.645"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2015.01.003"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2014.12.034"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2005.02.029"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.13579"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2009.162180"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.3129\/can j ophthalmol.i07-018"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1350-9462(99)00019-1"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2005.09.012"}],"container-title":["Acta Ophthalmologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Faos.13931","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aos.13931","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aos.13931","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aos.13931","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T04:56:46Z","timestamp":1694321806000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aos.13931"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,8]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,6]]}},"alternative-id":["10.1111\/aos.13931"],"URL":"https:\/\/doi.org\/10.1111\/aos.13931","archive":["Portico"],"relation":{},"ISSN":["1755-375X","1755-3768"],"issn-type":[{"value":"1755-375X","type":"print"},{"value":"1755-3768","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,10,8]]},"assertion":[{"value":"2018-04-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-09-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-10-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}