{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T05:00:14Z","timestamp":1790139614557,"version":"4.0.1"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,11,17]],"date-time":"2019-11-17T00:00:00Z","timestamp":1573948800000},"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":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Intraocular lens (<jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content>) fixation using a sutureless 27\u2010gauge needle intrascleral <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> implantation technique requires six surgical wounds. We developed a modified technique using two 27\u2010gauge trocars for vitrectomy and indwelling flanged <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> haptics to reduce the number of surgical wounds.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Department of Ophthalmology, Hyogo College of Medicine.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This retrospective study enrolled 54 patients who had undergone <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> scleral fixation between January 2016 and April 2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients who underwent <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> scleral fixation and were observed for &gt;12\u00a0weeks were analysed using medical record data. Before October 2017, patients underwent normal flanged <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> scleral fixation. Between November 2017 and April 2019, patients underwent the modified method (flanged <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> via 27\u2010gauge trocars with double\u2010needle technique). Primary end\u2010point was superiority or non\u2010inferiority of modified <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> scleral fixation compared with normal <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> scleral fixation for visual acuity (<jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content>). Changes in corneal endothelium cell number, refractivity, astigmatisms and surgery\u2010related complications, were secondary end\u2010points.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no significant differences in baseline characteristics between groups. Raw <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> and best collected <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">BCVA<\/jats:styled-content>) were significantly improved in all eyes (p\u2212). There were no statistical significances in raw <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> BCVA<\/jats:styled-content> and surgery\u2010related complications between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Results of the modified technique were not inferior compared with the original technique although it was less invasive. Therefore, flanged <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> fixation via trocars using a double\u2010needle technique is a useful technique for <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> implantation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.14313","type":"journal-article","created":{"date-parts":[[2019,11,18]],"date-time":"2019-11-18T06:16:04Z","timestamp":1574057764000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Flanged intraocular lens fixation via 27\u2010gauge trocars using a double\u2010needle technique decreases surgical wounds without losing its therapeutic effect"],"prefix":"10.1111","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0760-7203","authenticated-orcid":false,"given":"Hiroto","family":"Ishikawa","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Hyogo College of Medicine Nishinomiya Hyogo 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