{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T20:11:30Z","timestamp":1792008690205,"version":"4.4.0"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T00:00:00Z","timestamp":1681862400000},"content-version":"vor","delay-in-days":108,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100018625","name":"Science and Technology Innovation Plan Of Shanghai Science and Technology Commission","doi-asserted-by":"publisher","award":["20Y11910900"],"award-info":[{"award-number":["20Y11910900"]}],"id":[{"id":"10.13039\/501100018625","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014137","name":"Shanghai Shenkang Hospital Development Center","doi-asserted-by":"publisher","award":["SHDC2020CR4081"],"award-info":[{"award-number":["SHDC2020CR4081"]}],"id":[{"id":"10.13039\/501100014137","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Ophthalmology"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p><jats:italic>Purpose<\/jats:italic>. To evaluate refractive outcomes, intraocular lens (IOL) power calculation, and IOL position following a novel conjunctiva\u2010sparing transscleral fixation technique. <jats:italic>Methods<\/jats:italic>. Forty\u2010one eyes of 40 patients managed with a flapless transscleral\u2010sutured technique were included. Preoperative and postoperative refractive errors (spherical equivalents, SE) were compared. IOL position was assessed on the Scheimpflug images. IOL power was calculated by SRK\/T, Holladay 1, and Hoffer Q formulas. <jats:italic>Results<\/jats:italic>. The mean age was 57.39\u2009\u00b1\u200914.83\u2009years (range: 26 to 79\u2009years), and the mean follow\u2010up was 7.46\u2009\u00b1\u20096.42\u2009months (range: 1 to 24\u2009months). Surgical indications were aphakia (<jats:italic>n<\/jats:italic>\u2009=\u200914), subluxated lenses (<jats:italic>n<\/jats:italic>\u2009=\u20093), and IOL dislocation (<jats:italic>n<\/jats:italic>\u2009=\u200924). The SE was 4.50\u2009\u00b1\u20096.38 diopter (D) (range: \u22123.75 to 13.75\u2009D) preoperatively and \u22121.68\u2009\u00b1\u20091.57\u2009D (range: \u22125.50 to 1.13\u2009D) postoperatively (<jats:italic>P<\/jats:italic> &lt; 0.001). The mean tilt angle and decentration were 2.90\u00b0\u2009\u00b1\u20091.93\u00b0 (range: 0.39\u00b0 to 9.10\u00b0) and 0.23\u2009\u00b1\u20090.19\u2009mm (range: 0.02 to 0.94\u2009mm) vertically, and 1.75\u00b0\u2009\u00b1\u20091.41\u00b0 (range: 0.24\u00b0 to 7.65\u00b0) and 0.18\u2009\u00b1\u20090.19\u2009mm (range: 0.02 to 1.06\u2009mm) horizontally, which were clinically insignificant. All three IOL formulas produced myopic errors (range: \u22120.29 to \u22120.50\u2009D). The SRK\/T had the lowest median absolute error (0.55\u2009D), followed by the Holladay 1 (0.70\u2009D) and the Hoffer Q (0.74\u2009D). The three formulas had the same percentage of prediction errors (PEs) within \u00b10.5\u2009D (43.48%), while the Hoffer Q had the highest percentage of PEs within \u00b11.0\u2009D (82.61%). <jats:italic>Conclusion<\/jats:italic>. The present technique can serve as an alternative approach for transscleral IOL fixation and refractive correction in eyes with compromised capsular support, ensuring the stability of IOLs and reasonable IOL power calculation accuracy.<\/jats:p>","DOI":"10.1155\/2023\/4032011","type":"journal-article","created":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T23:50:23Z","timestamp":1681948223000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Flapless and Conjunctiva\u2010Sparing Technique for Transscleral Fixation of Intraocular Lens to Correct Refractive Errors in Eyes without Adequate Capsular 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