{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T15:53:16Z","timestamp":1777132396695,"version":"3.51.4"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,11,16]],"date-time":"2020-11-16T00:00:00Z","timestamp":1605484800000},"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":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To determine the over 10\u2010year follow\u2010up outcomes and analyse the reason for failure in patients who underwent black diaphragm intraocular lens (IOL) implantation for the management of traumatic aniridia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fifty\u2010three patients underwent black diaphragm IOL implantation for the treatment of traumatic aniridia from September 1998 to August 2007. 33 eyes of 33 patients were enrolled in our study, and the mean follow\u2010up period was 185.6\u00a0\u00b1\u00a036.2\u00a0months (range: 126\u2013247\u00a0months). The primary methods employed for assessment of the safety of the IOL and the causes of failure were the ultrasound biomicroscopy (UBM) and observation during reoperation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the current study, 13 patients (39.4%) who underwent IOL implantation by means of trans\u2010scleral fixation were observed to maintain a transparent cornea and normal intraocular pressure. 20 patients (60.6%) developed corneal endothelial decompensation, and 14 patients (42.4%) developed secondary glaucoma. 27 patients were examined by means of UBM or reoperation and the position of black diaphragm IOL in 18 patients was observed to be abnormal; the IOL had shifted forward and directly contacted with the anterior chamber and even the corneal endothelium.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The forward displacement of black diaphragm IOL is a direct cause of treatment failure. Although the implantation of black diaphragm IOL is an effective method of management of traumatic aniridia, the treatment should be guarded and performed in an appropriate manner. Patients should be informed regarding the need for life\u2010long follow\u2010up, so that the complications can be identified in a timely manner.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.14667","type":"journal-article","created":{"date-parts":[[2020,11,16]],"date-time":"2020-11-16T10:08:16Z","timestamp":1605521296000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Over 10\u2010year follow\u2010up outcomes and failure analysis of black diaphragm intraocular lens implantation in traumatic Aniridia"],"prefix":"10.1111","volume":"99","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9121-6162","authenticated-orcid":false,"given":"Jun","family":"Li","sequence":"first","affiliation":[{"name":"Qingdao Eye Hospital of Shandong First Medical University Qingdao China"},{"name":"State Key Laboratory Cultivation Base Shandong Provincial Key Laboratory of Ophthalmology Shandong Eye Institute Shandong First Medical University &amp; Shandong Academy of Medical Sciences Qingdao China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dongfang","family":"Li","sequence":"additional","affiliation":[{"name":"Qingdao Eye Hospital of Shandong First Medical University Qingdao China"},{"name":"State Key Laboratory Cultivation Base Shandong Provincial Key Laboratory of Ophthalmology Shandong Eye Institute Shandong First Medical University &amp; Shandong Academy of Medical Sciences Qingdao China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Wu","sequence":"additional","affiliation":[{"name":"Qingdao Eye Hospital of Shandong First Medical University Qingdao China"},{"name":"State Key Laboratory Cultivation Base Shandong Provincial Key Laboratory of Ophthalmology Shandong Eye Institute Shandong First Medical University &amp; Shandong Academy of Medical Sciences Qingdao China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoguang","family":"Dong","sequence":"additional","affiliation":[{"name":"Qingdao Eye Hospital of Shandong First Medical University Qingdao China"},{"name":"State Key Laboratory Cultivation Base Shandong Provincial Key Laboratory of Ophthalmology Shandong Eye Institute Shandong First Medical University &amp; Shandong Academy of Medical Sciences Qingdao China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,11,16]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2008.03.025"},{"key":"e_1_2_5_3_1","first-page":"434","article-title":"The black diaphragm intraocular lens implantation","volume":"37","author":"Bao Y","year":"2001","journal-title":"Zhonghua Yan Ke Za Zhi"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/112067210301300109"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000000172"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2008.154385"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(03)00668-0"},{"key":"e_1_2_5_8_1","first-page":"31","article-title":"A clinical study on black diaphragm posterior chamber intraocular lens implantation","volume":"37","author":"Lin Z","year":"2001","journal-title":"Zhonghua Yan Ke Za Zhi"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2013.09.014"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2018.03.033"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2014-305581"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(99)00432-0"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1045516"},{"key":"e_1_2_5_14_1","first-page":"197","article-title":"Black diaphragm intraocular lens in congenital aniridia","volume":"3","author":"Sundmacher R","year":"1994","journal-title":"Ger J Ophthalmol"},{"key":"e_1_2_5_15_1","first-page":"119","article-title":"Implantation of black diaphragm intraocular lenses in congenital and traumatic aniridia","volume":"102","author":"Synder A","year":"2000","journal-title":"Klin Oczna"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(99)00049-8"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-004-1058-9"},{"key":"e_1_2_5_18_1","first-page":"605","article-title":"Black diaphragm intraocular lens for congenital aniridia or traumatic iris deficiency","volume":"40","author":"Yang J","year":"2004","journal-title":"Zhonghua Yan Ke Za Zhi"}],"container-title":["Acta Ophthalmologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aos.14667","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aos.14667","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aos.14667","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T20:59:13Z","timestamp":1693342753000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aos.14667"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,16]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,8]]}},"alternative-id":["10.1111\/aos.14667"],"URL":"https:\/\/doi.org\/10.1111\/aos.14667","archive":["Portico"],"relation":{},"ISSN":["1755-375X","1755-3768"],"issn-type":[{"value":"1755-375X","type":"print"},{"value":"1755-3768","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,16]]},"assertion":[{"value":"2020-04-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}