{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:10:16Z","timestamp":1756365016378,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,11,21]]},"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:p>A 38-year-old patient presented to us with complaints of blurred vision and photophobia in the left eye with an uncorrected visual acuity of 20\/400, improving to 20\/60 with pinhole. The patient underwent phakic iris-claw lens surgery 15 years ago for high myopia. On examination, there was anterior chamber rigid phakic iris-claw lens along with complicated cataract. We planned for sutureless self-sealing 6.5\u2009mm sclerocorneal tunnel for explantation of rigid phakic iris-claw lens along with cataract extraction with irrigating vectis. There was postoperative reduction in astigmatism due to incision planned on steep axis, and visual acuity improved to 20\/30 uncorrected. This technique provides significant advantages from the previously described techniques in terms of decreased postop astigmatism, no need for sutures, no issues of chamber instability and iris trauma and without the need for phacoemulsification.<\/jats:p>","DOI":"10.1136\/bcr-2019-233128","type":"journal-article","created":{"date-parts":[[2019,12,5]],"date-time":"2019-12-05T04:55:32Z","timestamp":1575521732000},"page":"e233128","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Novel technique of explantation of rigid phakic iris-claw lens and cataract extraction by sutureless manual small-incision surgery"],"prefix":"10.1136","volume":"12","author":[{"given":"Prateek","family":"Agarwal","sequence":"first","affiliation":[{"name":"Eye Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel Edward","family":"Navon","sequence":"additional","affiliation":[{"name":"Eye Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neha","family":"Mithal","sequence":"additional","affiliation":[{"name":"Ophthalmology, AlAhaliya Eye Care Center, Abu Dhabi, United Arab Emirates"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,12,4]]},"reference":[{"key":"2025082723482480000_12.12.e233128.1","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/S0886-3350(98)80074-6","article-title":"Iris-claw lens in phakic eyes to correct hyperopia: preliminary study","volume":"24","author":"Fechner","year":"1998","journal-title":"J Cataract Refract Surg"},{"key":"2025082723482480000_12.12.e233128.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(00)00545-9"},{"key":"2025082723482480000_12.12.e233128.3","doi-asserted-by":"crossref","first-page":"697","DOI":"10.3928\/1081-597X-20021101-06","article-title":"Artisan phakic iris claw intraocular lens for high primary and secondary hyperopia","volume":"18","author":"Ali\u00f3","year":"2002","journal-title":"J Refract Surg"},{"key":"2025082723482480000_12.12.e233128.4","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1097\/ICU.0b013e328333ea2f","article-title":"Cataract surgery following phakic intraocular lens implantation","volume":"21","author":"Moshirfar","year":"2010","journal-title":"Curr Opin Ophthalmol"},{"key":"2025082723482480000_12.12.e233128.5","doi-asserted-by":"crossref","first-page":"589","DOI":"10.3928\/1081-597X-19970901-16","article-title":"Removal of age-related cataract and iris claw phakic intraocular lens","volume":"13","author":"Menezo","year":"1997","journal-title":"J Refract Surg"},{"key":"2025082723482480000_12.12.e233128.6","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.jcrs.2008.10.012","article-title":"Results of cataract surgery after implantation of an iris-fixated phakic intraocular lens","volume":"35","author":"de Vries","year":"2009","journal-title":"J Cataract Refract Surg"},{"key":"2025082723482480000_12.12.e233128.7","doi-asserted-by":"crossref","first-page":"131","DOI":"10.3928\/1081597X-20160106-01","article-title":"Femtosecond laser-assisted cataract surgery in phakic intraocular lens with cataract","volume":"32","author":"Kaur","year":"2016","journal-title":"J Refract Surg"},{"key":"2025082723482480000_12.12.e233128.8","doi-asserted-by":"crossref","first-page":"1609","DOI":"10.4103\/ijo.IJO_423_18","article-title":"Phacoemulsification in phakic iris-claw lens with cataract","volume":"66","author":"Khokhar","year":"2018","journal-title":"Indian J Ophthalmol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-233128","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:48:32Z","timestamp":1756363712000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-233128"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12]]},"references-count":8,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2019,12,4]]},"published-print":{"date-parts":[[2019,12]]}},"alternative-id":["10.1136\/bcr-2019-233128"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-233128","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,12]]}}}