{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:32:35Z","timestamp":1745469155551,"version":"3.40.4"},"reference-count":11,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2014,8,7]],"date-time":"2014-08-07T00:00:00Z","timestamp":1407369600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"},{"start":{"date-parts":[[2014,8,7]],"date-time":"2014-08-07T00:00:00Z","timestamp":1407369600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Rep Ophthalmol"],"abstract":"<jats:p>A series of surgical interventions - relaxing corneal incisions, intraocular lens, and intrastromal rings - were used to correct a case of extreme ametropia in a thin cornea after a penetrating keratoplasty in an 18-year-old patient who presented with a -10.25 -8.50 \u00d7 120 preoperative refraction and 20\/200 best-corrected visual acuity (BCVA). After a series of surgical procedures, the patient's BCVA in his left eye improved to 20\/30 with +0.50 -1.00 \u00d7 170, the slit lamp examination showed no significant findings, and the patient's visual complaints disappeared. At the 1-year follow-up, the BCVA was 20\/25, without visual complaints. The process of individualizing the surgical procedure in the present case was employed in an outcome-based approach, that is, the next surgical procedure was defined after the surgery and postoperative evaluation. The patient did not present complications during the follow-up period of 2.5 years.<\/jats:p>","DOI":"10.1159\/000365246","type":"journal-article","created":{"date-parts":[[2014,8,7]],"date-time":"2014-08-07T07:25:47Z","timestamp":1407396347000},"page":"255-261","source":"Crossref","is-referenced-by-count":2,"title":["Management of Extreme Ametropia after Penetrating Keratoplasty: A Series of Surgical Procedures for High Myopia and Astigmatism"],"prefix":"10.1159","volume":"5","author":[{"given":"Jorge E.","family":"Valdez-Garcia","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan J.","family":"Cueto-G\u00f3mez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan F.","family":"Lozano-Ram\u00edrez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro E.","family":"Tamez-Pe\u00f1a","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2014,8,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2012.09.002"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e31823f8db9"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2004.07.025"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2004.09.004"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2011.12.037"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/708736"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.5301\/ejo.5000232"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2009.06.034"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2009.02.027"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2011.12.037"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e318206caa9"}],"container-title":["Case Reports in Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/365246","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/365246","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T17:57:03Z","timestamp":1745431023000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000365246"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,8,7]]},"references-count":11,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2014,8,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000365246","archive":["Portico"],"relation":{},"ISSN":["1663-2699"],"issn-type":[{"type":"electronic","value":"1663-2699"}],"subject":[],"published":{"date-parts":[[2014,8,7]]}}}