{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:30:25Z","timestamp":1790641825938,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,12,20]],"date-time":"2021-12-20T00:00:00Z","timestamp":1639958400000},"content-version":"vor","delay-in-days":353,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"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":["Journal of Ophthalmology"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>\n                    <jats:italic>Purpose<\/jats:italic>\n                    . \u201cIn\u2010the\u2010bag\u201d placement of an IOL is the Holy Grail for any cataract surgeon. However, in the absence of capsular integrity, alternative surgical options to place the IOL must be sought. We aim to report the clinical outcomes and safety profile of scleral\u2010fixated Akreos AO60 intraocular lens implantation using Gore\u2010Tex suture, combined with pars plana vitrectomy.\n                    <jats:italic>Methods<\/jats:italic>\n                    . This is a single\u2010center, retrospective case series descriptive study. Electronic clinical records of all patients subjected to scleral fixation of a Bausch and Lomb Akreos AO60 IOL combined with pars plana vitrectomy, between April 1, 2017, and August 1, 2021, were reviewed. Data concerning age, sex, laterality, past ophthalmological history, pre\u2010 and postoperative best\u2010available visual acuity, surgical indication, and intra\u2010 and postoperative complications were collected. Measured outcomes were the differences in best\u2010available visual acuity and frequency of postoperative complications.\n                    <jats:italic>Results<\/jats:italic>\n                    . A total of 37 eyes (20 right eyes and 17 left eyes) from 36 patients (16 females and 20 males) were included in the statistical analysis. The mean age at time of surgery was 72.0\u2009\u00b1\u200912.4 years. The mean follow\u2010up period was 548.9 days (range 39\u20131564 days). Globally, the mean best\u2010available logMAR visual acuity improved from 1.61 preoperatively (0.025 decimal equivalent) to 0.57 postoperatively (0.3 decimal equivalent), this difference being statistically significant (\n                    <jats:italic>P<\/jats:italic>\n                    &lt; 0.001). Indications for surgery included aphakia due to complicated cataract surgery (24.3%;\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20099); subluxated IOL due to closed trauma (21.6%;\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20098); PEX\u2010related subluxated IOL (16.2%;\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20096); non\u2010traumatic, non\u2010PEX\u2010related subluxated IOL (18.9%;\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20097); subluxated crystalline lens due to closed trauma (8.1%;\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20093); aphakia due to open\u2010globe injury (5.4%;\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20092); silicone\u2010induced IOL opacification (2.7%;\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20091); and aphakia post\u2010endophthalmitis (2.7%;\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20091). Postoperative complications included transient ocular hypertension (27.0%;\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200910), transient corneal edema (18.9%;\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20097), cystoid macular edema (18.9%,\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20097), self\u2010limited hypotension (5.4%,\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20092), self\u2010limited vitreous hemorrhage (2.7%,\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20091), central retinal vein occlusion (2.7%,\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20091), late retinal detachment (2.7%,\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20091), and Akreos IOL opacification (2.7%,\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20091). No suture\u2010related complications were observed.\n                    <jats:italic>Conclusion<\/jats:italic>\n                    . There was a statistically significant improvement in visual acuity after scleral fixation of Akreos AO60 intraocular lens using Gore\u2010Tex suture, with no suture\u2010related problems recorded. This procedure seems to be a valuable alternative for posterior chamber IOL placement when secondary IOL implantation is required.\n                  <\/jats:p>","DOI":"10.1155\/2021\/9349323","type":"journal-article","created":{"date-parts":[[2022,1,12]],"date-time":"2022-01-12T08:57:14Z","timestamp":1641977834000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Scleral Fixation of Akreos AO60 Intraocular Lens Using Gore\u2010Tex Suture: An Eye on Visual Outcomes and Postoperative Complications"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9361-0195","authenticated-orcid":false,"given":"Mariana","family":"Leuzinger-Dias","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9126-3505","authenticated-orcid":false,"given":"M\u00e1rio","family":"Lima-Fontes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita","family":"Rodrigues","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9446-7140","authenticated-orcid":false,"given":"Cl\u00e1udia","family":"Oliveira-Ferreira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9520-5054","authenticated-orcid":false,"given":"Carolina","family":"Madeira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5995-9430","authenticated-orcid":false,"given":"Fernando","family":"Falc\u00e3o-Reis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00edtor","family":"Fernandes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8374-0298","authenticated-orcid":false,"given":"Am\u00e2ndio","family":"Rocha-Sousa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4718-0910","authenticated-orcid":false,"given":"Manuel","family":"Falc\u00e3o","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,20]]},"reference":[{"key":"e_1_2_9_1_2","doi-asserted-by":"publisher","DOI":"10.1177\/2474126417690650"},{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.oret.2019.02.005"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2015-306839"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0161-6420(02)02000-6"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/iae.0000000000000233"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/8463569"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/aos.14307"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2018.10.031"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2005.09.012"},{"key":"e_1_2_9_10_2","doi-asserted-by":"publisher","DOI":"10.7860\/JCDR\/2017\/20989.9533"},{"key":"e_1_2_9_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000026728"},{"key":"e_1_2_9_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/ico.0000000000002457"},{"key":"e_1_2_9_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/iae.0000000000001692"},{"key":"e_1_2_9_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00159844"},{"key":"e_1_2_9_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/1120672118799622"},{"key":"e_1_2_9_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2018.05.015"},{"key":"e_1_2_9_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2019.07.015"},{"key":"e_1_2_9_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/icb.0000000000000634"},{"key":"e_1_2_9_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2014.10.025"},{"key":"e_1_2_9_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2015.09.019"}],"container-title":["Journal 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