{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:43:06Z","timestamp":1756384986921,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,3,19]]},"abstract":"<jats:p>A 66-year-old man with microcornea and microphthalmia required a corneal transplant for bullous keratopathy. The patient suffered from congenital cataracts and was left aphakic at the time of the original surgery because of the special challenge of operating on his eye. To improve his vision, we elected to place an intraocular lens (IOL) into his eye as an \u2018open sky\u2019 procedure during corneal transplant. However, the implantation was difficult because of the small size of this eye. The surgeon used a novel approach to fixing the IOL to the sclera in which he penetrated the IOL and sutured the IOL through this hole. Following the procedure, the patient reported improvement in his vision and great satisfaction. This case report describes a manoeuvre of fixating an IOL to the sclera by piercing the IOL optic.<\/jats:p>","DOI":"10.1136\/bcr-2016-214429","type":"journal-article","created":{"date-parts":[[2016,4,6]],"date-time":"2016-04-06T14:19:38Z","timestamp":1459952378000},"page":"bcr2016214429","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Scleral fixation of a posterior chamber intraocular lens combined with penetrating keratoplasty in an aphakic patient with microcornea and microphthalmia"],"prefix":"10.1136","volume":"2016","author":[{"given":"He J","family":"Li","sequence":"first","affiliation":[{"name":"John A Moran Eye Center, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantinos T","family":"Tsaousis","sequence":"additional","affiliation":[{"name":"John A Moran Eye Center, Salt Lake City, Utah, USA"},{"name":"Department of Ophthalmology, Leicester Royal Infirmary, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geoffrey C","family":"Tabin","sequence":"additional","affiliation":[{"name":"John A Moran Eye Center, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,4,6]]},"reference":[{"key":"2025082805155886000_2016.apr06_2.bcr2016214429.1","doi-asserted-by":"publisher","DOI":"10.3109\/08820538.2013.835834"},{"key":"2025082805155886000_2016.apr06_2.bcr2016214429.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2011.02.023"},{"key":"2025082805155886000_2016.apr06_2.bcr2016214429.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(02)02000-6"},{"key":"2025082805155886000_2016.apr06_2.bcr2016214429.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2014.05.039"},{"key":"2025082805155886000_2016.apr06_2.bcr2016214429.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2013.07.003"},{"key":"2025082805155886000_2016.apr06_2.bcr2016214429.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2009.09.041"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-214429","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:16:04Z","timestamp":1756383364000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-214429"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,4,6]]},"references-count":6,"alternative-id":["10.1136\/bcr-2016-214429"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-214429","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2016,4,6]]}}}