{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T01:56:01Z","timestamp":1768442161313,"version":"3.49.0"},"reference-count":21,"publisher":"Wiley","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Ophthalmology"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p><jats:italic>Purpose<\/jats:italic>. To evaluate the short-term postoperative outcomes in endoscopic-assisted sclera fixation intraocular lens (IOL) for the management of secondary aphakia in children.<jats:italic>Methods<\/jats:italic>. This is a prospective study, whereas 40 aphakic eyes with absence of a good capsular support were implanted by endoscopy-assisted sclera fixation technique.<jats:italic>Results<\/jats:italic>. No major intraoperative complications were recorded. All cases were followed up for 6 months. Only transient ocular hypertension occurred in 10 (25%) eyes. Lens decentration and\/or tilting were clinically detected in 2 eyes (5%). Ultrasonic biomicroscopic (UBM) examination revealed lens tilting in 2 (5%) of the operated eyes, despite the proper haptics positioning in the ciliary sulcus. Postoperative vitreous hemorrhage was reported in 5 eyes (12.5%) in the early postoperative period and retinal detachment in one eye. A postoperative refractive astigmatism ranging from 0.75\u2009D to 3.75\u2009D (mean 1.7\u2009D \u00b1 0.79) was recorded, as compared to mean preoperative values of 2.00\u2009D, with no statistically significant differences being recorded (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>p<\/mml:mi><mml:mo>\u2265<\/mml:mo><mml:mn fontstyle=\"italic\">0.05<\/mml:mn><\/mml:math>). An improvement of BCVA, 1-2 lines on Snellen chart at the end of the follow-up period, was detected in 23 eyes (57.5%) with a mean of<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mn fontstyle=\"italic\">0.6<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">0.08<\/mml:mn><\/mml:math>\u2009SD, as compared to a preoperative mean values of<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mn fontstyle=\"italic\">0.5<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">0.07<\/mml:mn><\/mml:math>\u2009SD (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mi>p<\/mml:mi><mml:mo>\u2265<\/mml:mo><mml:mn fontstyle=\"italic\">0.05<\/mml:mn><\/mml:math>).<jats:italic>Conclusion<\/jats:italic>. Using an endoscope for transscleral suturing of intraocular lenses in aphakic pediatric eyes might be considered as being an effective technique that can reduce surgical complications, especially postoperative lens decentration.<\/jats:p>","DOI":"10.1155\/2016\/8501842","type":"journal-article","created":{"date-parts":[[2016,8,10]],"date-time":"2016-08-10T21:03:48Z","timestamp":1470863028000},"page":"1-6","source":"Crossref","is-referenced-by-count":3,"title":["Endoscopic-Assisted Scleral Fixated IOL in the Management of Secondary Aphakia in Children"],"prefix":"10.1155","volume":"2016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2647-5883","authenticated-orcid":true,"given":"Heba A.","family":"El Gendy","sequence":"first","affiliation":[{"name":"Ophthalmology Department, Cairo University, Giza, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hossam Eldin","family":"Khalil","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Beni-Suef University, Beni-Suef, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hazem Effat","family":"Haroun","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Beni-Suef University, Beni-Suef, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Wagieh","family":"El Deeb","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Cairo University, Giza, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2009.01.006"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2008.04.040"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2011.09.027"},{"issue":"5","key":"4","doi-asserted-by":"crossref","first-page":"333","DOI":"10.3928\/1081-597X-19930901-04","volume":"9","year":"1993","journal-title":"Refractive and Corneal Surgery"},{"issue":"4","key":"5","first-page":"317","volume":"90","year":"1993","journal-title":"Der Ophthalmologe"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(01)00791-X"},{"key":"7","first-page":"531","volume":"54","year":"2000","journal-title":"Japanese Journal of Ophthalmology"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.281053"},{"issue":"11","key":"9","first-page":"692","volume":"22","year":"1991","journal-title":"Ophthalmic Surgery"},{"issue":"3","key":"10","first-page":"169","volume":"76","year":"2001","journal-title":"Archivos de la Sociedad Espanola de Oftalmologia"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2011.02.023"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.12669\/pjms.294.3791"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1007\/BF00159844"},{"issue":"4","key":"14","first-page":"240","volume":"19","year":"1988","journal-title":"Ophthalmic Surgery"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2005.02.029"},{"key":"16","first-page":"53","volume":"8","year":"1995","journal-title":"Japanese Journal of Ophthalmic Surgery"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2006.02.065"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2004.12.060"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2008.10.045"},{"issue":"6","key":"20","first-page":"449","volume":"5","year":"1996","journal-title":"German Journal of Ophthalmology"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(00)00412-7"}],"container-title":["Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/joph\/2016\/8501842.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/joph\/2016\/8501842.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/joph\/2016\/8501842.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,5]],"date-time":"2022-07-05T19:03:08Z","timestamp":1657047788000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/joph\/2016\/8501842\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":21,"alternative-id":["8501842","8501842"],"URL":"https:\/\/doi.org\/10.1155\/2016\/8501842","relation":{},"ISSN":["2090-004X","2090-0058"],"issn-type":[{"value":"2090-004X","type":"print"},{"value":"2090-0058","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016]]}}}