{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T10:50:45Z","timestamp":1782730245529,"version":"3.54.5"},"reference-count":39,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,8,17]],"date-time":"2019-08-17T00:00:00Z","timestamp":1566000000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To report the rate and management of intra\u2010 and early postoperative complications of bag\u2010in\u2010the\u2010lens intraocular lens (<jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content>) implantation technique for cataract treatment in paediatric patients of different age groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Settings<\/jats:title><jats:p>Department of Ophthalmology, Justus\u2010Liebig\u2010University Giessen, University Hospital Giessen and Marburg GmbH, Campus Giessen, Giessen, Germany.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective non\u2010randomized consecutive case series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Ninety eyes of 60 paediatric cataract patients were enrolled to this retrospective non\u2010randomized observational consecutive case series single\u2010centre study. All patients underwent cataract surgery with bag\u2010in\u2010the\u2010lens <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> implantation between January 2008 and December 2018, performed by two experienced surgeons. The entire cohort was divided into four age groups: first \u2013 0\u2013&lt;3\u00a0months, second \u2013 3\u2013&lt;12\u00a0months, third \u2013 12\u2013&lt;36 and fourth \u2013 &gt;36\u00a0months\u201317\u00a0years of age. The intra\u2010 and postoperative complications were based on the clinical records. The description of management of complications related specifically to bag\u2010in\u2010the\u2010lens <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> technique was based on the 39 consecutive cases operated since 1 Jan 2016 by one single surgeon that were all video documented. The early postoperative period was defined as 12\u00a0months after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, there were 27 unilateral and 33 bilateral surgical cases of 24 female and 36 male children. The mean age at surgery was 45.25\u00a0months (range 1\u2013200\u00a0months). The most common intraoperative events were vitreous prolapse and anterior capsule rupture with 28.9% and 13.3%, respectively. Within 12\u00a0months of follow\u2010up, five eyes (5.6%) were re\u2010operated because of visual axis reo\u2010pacification (<jats:styled-content style=\"fixed-case\">VAR<\/jats:styled-content>). Intraocular hypertension was diagnosed in seven eyes (7.8%), including two cases that required surgical treatment. In all cases with intra\u2010 and early postoperative complications related specifically to bag\u2010in\u2010the\u2010lens technique, it was possible to manage them and successfully implant bag\u2010in\u2010the\u2010lens <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Implementation of bag\u2010in\u2010the\u2010lens technique in the treatment of paediatric cataract was associated with a relatively low rate of intra\u2010 and postoperative complications, including rare cases of <jats:styled-content style=\"fixed-case\">VAR<\/jats:styled-content>. The correct management of complications related specifically to bag\u2010in\u2010the\u2010lens <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> implantation technique shall to be considered during the learning curve.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.14229","type":"journal-article","created":{"date-parts":[[2019,8,17]],"date-time":"2019-08-17T13:16:15Z","timestamp":1566047775000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Analysis and management of intraoperative and early postoperative complications of bag\u2010in\u2010the\u2010lens intraocular lens implantation in different age groups of paediatric cataract patients: report of the Giessen Paediatric Cataract Study Group"],"prefix":"10.1111","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6788-5312","authenticated-orcid":false,"given":"Lyubomyr M.","family":"Lytvynchuk","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Justus\u2010Liebig\u2010University Giessen University Hospital Giessen and Marburg GmbH Giessen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian V.","family":"Thiele","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Justus\u2010Liebig\u2010University Giessen University Hospital Giessen and Marburg GmbH Giessen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birgit","family":"Lorenz","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Justus\u2010Liebig\u2010University Giessen University Hospital Giessen and Marburg GmbH Giessen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,8,17]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2017.07.003"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2008.07.010"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(14)73015-6"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-012-1700-1"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2015.04.006"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/09286580600672213"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.1992.34"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2015.1329"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(96)30414-4"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.3928\/01913913-20100420-03"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.12375"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-3768.2009.01699.x"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.12445"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2009.3"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(01)01028-8"},{"key":"e_1_2_5_17_1","first-page":"1379","article-title":"High\u2010powered acrylic intraocular lens surface damage from small cartridge injection may be reduced by lens warming","volume":"53","author":"Kahn J","year":"2012","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-3768.2010.01872.x"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0420.2006.00733.x"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-3768.2009.01633.x"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(96)80312-9"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2016.02.040"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2019.05.032"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_800_17"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.3109\/08820538.2010.518836"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.13626"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2014.07.031"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2016-310532"},{"key":"e_1_2_5_29_1","first-page":"178","volume-title":"Paediatric cataract surgery: techniques, Complications and Management","author":"Tassignon M\u2010J","year":"2014"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(96)80068-X"},{"key":"e_1_2_5_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(02)01375-5"},{"key":"e_1_2_5_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2006.12.016"},{"key":"e_1_2_5_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2014.12.057"},{"key":"e_1_2_5_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2010.10.036"},{"key":"e_1_2_5_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-540-68632-3_23"},{"key":"e_1_2_5_36_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.87.1.14"},{"key":"e_1_2_5_37_1","volume-title":"Global initiative for the elimination of avoidable blindness","author":"World Health Organisation","year":"1977"},{"key":"e_1_2_5_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.12566"},{"key":"e_1_2_5_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0420.2007.01007.x"},{"key":"e_1_2_5_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2005.01.012"}],"container-title":["Acta Ophthalmologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Faos.14229","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aos.14229","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aos.14229","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aos.14229","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T18:48:43Z","timestamp":1694026123000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aos.14229"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,17]]},"references-count":39,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.1111\/aos.14229"],"URL":"https:\/\/doi.org\/10.1111\/aos.14229","archive":["Portico"],"relation":{},"ISSN":["1755-375X","1755-3768"],"issn-type":[{"value":"1755-375X","type":"print"},{"value":"1755-3768","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,17]]},"assertion":[{"value":"2019-04-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-07-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-08-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}