{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T23:36:27Z","timestamp":1792020987915,"version":"4.4.0"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100019779","name":"Qatar National Library","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019779","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Exper Ophthalmology"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To compare complication risks and visual outcomes between pars plana vitrectomy (PPV) and anterior vitrectomy (AV) in scleral\u2010fixated intraocular lens (SFIOL) implantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We searched PubMed, MEDLINE, Scopus, EMBASE, the Cochrane Library and Google Scholar. Primary outcomes included postoperative complications\u2014retinal detachment (RD), vitreous prolapse, cystoid macular edema (CME), elevated intraocular pressure (IOP), vitreous Haemorrhage and intraocular lens (IOL) capture\u2014and changes in best\u2010corrected visual acuity (BCVA). We performed random\u2010effects meta\u2010analyses and assessed certainty of evidence using the GRADE framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We included five studies comprising 522 eyes. PPV was associated with lower odds of retinal detachment (RD) (OR\u2009=\u20090.11, 95% CI: 0.02\u20130.57,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) and vitreous prolapse (OR\u2009=\u20090.10, 95% CI: 0.02\u20130.60,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) compared with AV; however, no events occurred in the PPV arm for both outcomes. The two groups did not differ significantly in the risks of CME, elevated IOP, or vitreous haemorrhage. PPV was associated with a higher risk of IOL capture (OR\u2009=\u20093.12, 95% CI: 1.30\u20137.46,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) and postoperative BCVA improvement was comparable (MD\u2009=\u2009\u22120.05, 95% CI: \u22120.12 to 0.02). GRADE certainty was very low to low.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PPV may be associated with a reduced risk of retinal detachment and vitreous prolapse, but increased risk of IOL capture compared with AV in SFIOL implantation, with comparable visual outcomes. Given the lower certainty of evidence for most outcomes, surgeons should interpret these findings in the context of their surgical expertise and individual patient characteristics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ceo.70107","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T07:03:26Z","timestamp":1775027006000},"page":"687-697","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Pars Plana Vitrectomy Versus Anterior Vitrectomy in Scleral\u2010Fixated Intraocular Lenses Implantation: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2953-2188","authenticated-orcid":false,"given":"Hashem","family":"Abu Serhan","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Hamad Medical Corporation  Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9215-2754","authenticated-orcid":false,"given":"Abdullah","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Medicine Allama Iqbal Medical College  Lahore Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahrukh","family":"Chaudhry","sequence":"additional","affiliation":[{"name":"Department of Medicine Allama Iqbal Medical College  Lahore Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fakiha","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Medicine Foundation University  Islamabad Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6724-2042","authenticated-orcid":false,"given":"Arsalan","family":"Nadeem","sequence":"additional","affiliation":[{"name":"Department of Medicine Allama Iqbal Medical College  Lahore Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basum","family":"Hayat","sequence":"additional","affiliation":[{"name":"Department of Medicine Shifa College of Medicine  Islamabad Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7207-6782","authenticated-orcid":false,"given":"Ahmed B.","family":"Sallam","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Jones Eye Institute, University of Arkansas for Medical Sciences  Little Rock Arkansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,1]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2013.95"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2005.06.010"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/ojo.OJO_134_2016"},{"issue":"4","key":"e_1_2_9_5_1","first-page":"116","article-title":"Iris\u2010Fixated Intraocular Lenses for Ametropia and Aphakia","volume":"3","author":"Sim\u00f5es P. 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