{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T15:28:27Z","timestamp":1778254107587,"version":"3.51.4"},"reference-count":25,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2020,12,16]],"date-time":"2020-12-16T00:00:00Z","timestamp":1608076800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2020,12,16]],"date-time":"2020-12-16T00:00:00Z","timestamp":1608076800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ophthalmic Res"],"published-print":{"date-parts":[[2021]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Introduction:&lt;\/i&gt;&lt;\/b&gt; To assess the postoperative outcome and patient-reported satisfaction, spectacle independence, and dysphotopsia after implantation with the mutifocal Rayner Sulcoflex supplementary intraocular lens (sIOL). &lt;b&gt;&lt;i&gt;Materials and Methods:&lt;\/i&gt;&lt;\/b&gt; We analyzed the outcome of all patients implanted with a multifocal sIOL between 2009 and 2011. In all cases, the sIOL was the Rayner Sulcoflex IOL (type 653F) and the primary IOL was a bag-in-the-lens (BIL) IOL. The data were obtained through a retrospective analysis of the patient records and by means of a questionnaire, 5 years after sIOL implantation. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; This study included 31 eyes of 20 patients. In 13 eyes, the sIOL needed explantation (&lt;i&gt;n&lt;\/i&gt; = 13, 41.94%). Dysphotopsia is a frequent complaint (12\/15 patients: 80.0%) after sIOL implantation. In 13 out of 31 eyes (41.94%), pigment deposits were found on the sIOL with variable clinical complaints. Five eyes required additional surgery because of clinically significant deposits. &lt;b&gt;&lt;i&gt;Discussion\/Conclusion:&lt;\/i&gt;&lt;\/b&gt; Patients with a multifocal sIOL in combination with a BIL implantation have a higher incidence of dysphotopsia compared to previously published studies. Dysphotopsia was the main complaint and reason for explantation. We encountered a high incidence of pigmented IOL deposits. The sIOLs can be safely removed even years after implantation. <\/jats:p>","DOI":"10.1159\/000513790","type":"journal-article","created":{"date-parts":[[2021,6,21]],"date-time":"2021-06-21T21:01:16Z","timestamp":1624309276000},"page":"503-511","source":"Crossref","is-referenced-by-count":13,"title":["Clinical and Surgical Outcome of a Supplementary Multifocal Intraocular Lens Implanted with a Bag-In-the-Lens Intraocular Lens: 5-Year Follow-Up"],"prefix":"10.1159","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6390-8433","authenticated-orcid":false,"given":"Thomas","family":"Verdonck","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liliana","family":"Werner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sorcha","family":"N\u00ed Dhubhghaill","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie-Jos\u00e9","family":"Tassignon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2020,12,16]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2012.12.002"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2013.12.011"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1111\/opo.12129"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003169.pub4"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S100840"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s00347-007-1660-4"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/s0886-3350(99)00433-2"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/s0886-3350(00)00485-5"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/s0002-9394(01)01405-2"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/s0886-3350(01)00877-x"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2004.03.034"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2005.06.034"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2016.310"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2012.10.047"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2015.10.055"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2005.05.023"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2009.12.045"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20110512-01"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.5301\/ejo.5000156"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.5301\/ejo.5000564"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20130212-01"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.3928\/1081597x-20131217-05"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2013-304591"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2009.07.014"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.clae.2013.07.010"}],"container-title":["Ophthalmic Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/513790","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/513790","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:18:06Z","timestamp":1745425086000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000513790"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,16]]},"references-count":25,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,6,21]]}},"URL":"https:\/\/doi.org\/10.1159\/000513790","archive":["Portico"],"relation":{},"ISSN":["0030-3747","1423-0259"],"issn-type":[{"value":"0030-3747","type":"print"},{"value":"1423-0259","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,16]]}}}