{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T06:55:35Z","timestamp":1781592935134,"version":"3.54.5"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"vor","delay-in-days":165,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82371026"],"award-info":[{"award-number":["82371026"]}],"id":[{"id":"10.13039\/501100001809","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":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the visual outcomes, intraocular lens (IOL) positional stability, and impact on the ocular surface following a novel modified scleral tunnel IOL ciliary sulcus suture\u2010fixation technique in eyes without adequate capsular support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A prospective single\u2010arm cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 48 eyes underwent the modified fixation procedure, which utilized a microcurved needle with 10\u20100 polypropylene suture to create a scleral tunnel for suture burial. Main outcome measures were assessed preoperatively and at 1 and 3\u2009months postoperatively. Visual function was evaluated by measuring uncorrected distance visual acuity (UDVA) and best\u2010corrected distance visual acuity (BCVA) using standard logarithmic charts and by manifest refraction. IOL position (decentration and tilt) was quantified using anterior segment optical coherence tomography (AS\u2010OCT) with ImageJ software analysis. Ocular surface impact was assessed via tear film break\u2010up time (BUT), corneal fluorescein staining (FL), and the Schirmer I test (SIT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Visual outcomes significantly improved: postoperative UDVA was 0.41\u2009\u00b1\u20090.36 logMAR, and BCVA was 0.25\u2009\u00b1\u20090.32 logMAR, compared to preoperative 1.16\u2009\u00b1\u20090.65 and 0.61\u2009\u00b1\u20090.60 logMAR, respectively (both\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). IOL position was stable, with a mean horizontal and vertical decentration of 0.38\u2009mm and 0.39\u2009mm, respectively, and a mean tilt of 3.34\u00b0 and 3.42\u00b0. Ocular surface parameters showed a transient disturbance at 1\u2009month (BUT decreased, FL increased) but returned to near\u2010baseline levels by 3\u2009months postoperatively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The modified scleral tunnel IOL fixation technique effectively restores visual function, provides excellent and stable IOL positioning, and induces only transient, reversible disturbance to the ocular surface. This method represents a safe and effective surgical option for eyes lacking capsular support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/joph\/5043535","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T06:44:23Z","timestamp":1781592263000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Application of the Modified Scleral Tunnel Intraocular Lens Ciliary Sulcus Suture\u2010Fixation Technique"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8135-6333","authenticated-orcid":false,"given":"Bingzhen","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9107-2365","authenticated-orcid":false,"given":"Yiyun","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1327-1947","authenticated-orcid":false,"given":"Xuran","family":"Long","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3066-8020","authenticated-orcid":false,"given":"Hong","family":"Qi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,15]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2005.06.010"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2020.03.005"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/ceo.13975"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0000000000000632"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2014.11.009"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1407936"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-021-01571-5"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12886-019-1113-2"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2003.09.048"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2018.07.042"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2017.03.036"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000001024"},{"key":"e_1_2_11_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2023.06.018"}],"container-title":["Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/joph\/5043535","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/joph\/5043535","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/joph\/5043535","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T06:44:24Z","timestamp":1781592264000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/joph\/5043535"}},"subtitle":[],"editor":[{"given":"Maja","family":"Bohac","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/joph\/5043535"],"URL":"https:\/\/doi.org\/10.1155\/joph\/5043535","archive":["Portico"],"relation":{},"ISSN":["2090-004X","2090-0058"],"issn-type":[{"value":"2090-004X","type":"print"},{"value":"2090-0058","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-01-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"5043535"}}