{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:23:40Z","timestamp":1745468620592,"version":"3.40.4"},"reference-count":28,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ophthalmic Res"],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:p>Introduction: The aim of this study was to evaluate intraocular lens (IOL) tilt, IOL-induced astigmatism (IIA), refractive change, and impact of capsular fibrosis on IOL position after scleral fixation of dislocated IOL using two methods: ab externo scleral suture loop fixation (group A) and a modification, embracing the continuous curvilinear capsulorhexis (group B). Methods: In this prospective randomized clinical trial conducted at St. Erik Eye Hospital, 117 patients with dislocated IOL were randomized to group A (n = 61) or B (n = 56). Patients with ordinary pseudophakia (n = 60) served as controls. IOL tilt was measured three-dimensionally with anterior segment optical coherence tomography (AS-OCT). Results: The median IOL tilt was similar with both methods (A: 7.8\u00b0; B: 8.3\u00b0; p = 0.51) but higher than in ordinary pseudophakia (5.4\u00b0; p &amp;lt; 0.001). Both groups showed a myopic shift, p &amp;lt; 0.001. In cases without capsular fibrosis, the median IOL tilt was 15.5\u00b0 in group A (n = 7) and 7.0\u00b0 in group B (n = 5), p = 0.19. For each degree of IOL tilt, IIA increased by 0.075 D (p &amp;lt; 0.001). IOL position could be measured with AS-OCT in all patients given that the IOL was visible in the pupil. Conclusion: After IOL fixation surgery, IOL tilt is higher than in normal pseudophakia. A study involving more patients without capsular fibrosis could clarify whether IOL position is better with method B in this subgroup. IAA is low, but myopic shift is common. AS-OCT is useful for IOL tilt assessment after IOL fixation surgery. <\/jats:p>","DOI":"10.1159\/000529506","type":"journal-article","created":{"date-parts":[[2023,2,3]],"date-time":"2023-02-03T22:01:01Z","timestamp":1675461661000},"page":"590-598","source":"Crossref","is-referenced-by-count":1,"title":["Repositioning of in-the-bag Dislocated Intraocular Lenses: A Randomized Clinical Trial Comparing Two Surgical Methods"],"prefix":"10.1159","author":[{"given":"Laura","family":"Armonaite","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anders","family":"Behndig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2023,2,3]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2010.04.042"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2005.06.050"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/s0161-6420(00)00410-3"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2013.06.023"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1111\/aos.12024"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2015.06.010"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2011.02.002"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2018.04.035"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.3928\/1081-597x-19940901-14"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0184066"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2003.10.037"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2006.09.017"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2008.04.016"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2010.01.035"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2013.01.044"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2016.10.024"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2010.03.043"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2010.09.013"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2013.01.039"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0059109"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0142556"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2014.07.032"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2017.01.026"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-3768.2008.01287.x"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1001\/archophthalmol.2011.349"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000000219"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.21037\/atm-20-1008"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2018.07.017"}],"container-title":["Ophthalmic Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/ore\/article-pdf\/66\/1\/590\/3997710\/000529506.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/karger.com\/ore\/article-pdf\/66\/1\/590\/3997710\/000529506.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:14:14Z","timestamp":1745421254000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000529506"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":28,"URL":"https:\/\/doi.org\/10.1159\/000529506","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.22004798","asserted-by":"subject"}]},"ISSN":["0030-3747","1423-0259"],"issn-type":[{"type":"print","value":"0030-3747"},{"type":"electronic","value":"1423-0259"}],"subject":[],"published":{"date-parts":[[2023]]}}}