{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T21:48:37Z","timestamp":1773265717249,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Exper Ophthalmology"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intraocular lens implantation in children with insufficient zonular support can be challenging. Scleral\u2010fixated intraocular lens (SFIOL) implantation can be useful in these cases. We aim to report the visual and refractive outcomes of four\u2010point sutured SFIOL in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of children who underwent primary or secondary four\u2010point SFIOL using Akreos AO60 or Luxgood intraocular lens with polytetrafluoroethylene monofilament (PTFE, Gore\u2010Tex) at Queensland Children's Hospital, Brisbane, Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty\u2010three eyes of 31 children were included for review. The mean age of SFIOL implantation was 7.86\u2009\u00b1\u20093.71\u2009years. The median follow\u2010up time was 24\u2009months (IQR 35, range 1\u201377). The majority of children had subluxed crystalline lenses secondary to Marfan syndrome (44 eyes, 83.02%). Best corrected visual acuity (BCVA) was maintained or improved from the preoperative BCVA in 92.6% of eyes. Median postoperative BCVA improved to logMAR 0.2 (IQR 0.16) at 1\u2010year follow\u2010up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). Compared to target refraction, the postoperative refraction was more myopic, but this was not statistically significant. In 33 eyes that had more than 1\u2009year of follow\u2010up, residual refractive error was within 1.00D for 21 eyes, within 2.00D for 7 eyes, within 3.00D for 3 eyes and greater than 3.00D for 2 eyes. Retinal detachment occurred in three eyes (5.66%). Asymptomatic IOL tilt\/decentration was noted in one eye (1.88%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Four\u2010point SFIOL implantation using Gore\u2010Tex suture offered excellent visual and refractive outcomes. Postoperative complications were rare and there were no new cases of amblyopia during the follow\u2010up period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ceo.70038","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T22:34:00Z","timestamp":1765233240000},"page":"202-208","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of Four\u2010Point Sutured Scleral\u2010Fixated Intraocular Lens Implantation Using Gore\u2010Tex Suture in Paediatric Eyes"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5279-993X","authenticated-orcid":false,"given":"Li Yen","family":"Chan","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Queensland Children's Hospital, Children's Health Queensland  Brisbane Australia"},{"name":"Department of Ophthalmology Kuala Lumpur General Hospital  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ye","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Queensland Children's Hospital, Children's Health Queensland  Brisbane Australia"},{"name":"Faculty of Medicine The University of Queensland  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuan","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Queensland Children's Hospital, Children's Health Queensland  Brisbane Australia"},{"name":"Faculty of Medicine The University of Queensland  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0b013e32834cd5e5"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/08820538.2019.1620809"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/2253486"},{"issue":"1","key":"e_1_2_10_5_1","first-page":"71","article-title":"Optical Correction of Aphakia in Children","volume":"9","author":"Baradaran\u2010Rafii A.","year":"2014","journal-title":"Journal of Ophthalmic Vision Research"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0161\u20106420(02)02000\u20106"},{"key":"e_1_2_10_7_1","volume-title":"StatPearls","author":"Kumar B.","year":"2022"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S205148"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010021\u201095428\u20102"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oret.2019.02.005"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fopht.2023.1147881"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol\u20102015\u2010306839"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_2665_21"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.3928\/01913913\u201020210111\u201002"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2017.175"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjo.2017.07.015"},{"key":"e_1_2_10_17_1","first-page":"294","article-title":"Hanging by a Thread: The Long\u2010Term Efficacy and Safety of Transscleral Sutured Intraocular Lenses in Children (an American Ophthalmological Society Thesis)","volume":"105","author":"Buckley E. 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