{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:40:08Z","timestamp":1745422808717,"version":"3.40.4"},"reference-count":0,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T00:00:00Z","timestamp":1734912000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T00:00:00Z","timestamp":1734912000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ophthalmologica"],"abstract":"<jats:p>Introduction: The aim of our study was to assess the outcome of Gore-Tex sutures in minimally invasive scleral fixation of subluxated posterior chamber intraocular lenses (PCIOLs) and to demonstrate a method for validating the lens position. \nMethods:  Retrospective study of patients who underwent lasso in-the-bag scleral fixation of a subluxated PCIOL using the snare technique with Gore-Tex suture from 2019 to 2021 in a single tertiary medical center. Functional outcome was analyzed by clinical assessment, and anatomical outcome, by ultrasound biomicroscopy (UBM). \nResults: 18 eyes were included . Mean duration of follow-up was 140 days (range 23\u2013659), and median time from PCIOL implantation to fixation was 8.5 years (IQR 6.25-10.75). All patients had ocular comorbidities, mainly glaucoma (n=6) and pseudoexfoliation syndrome (n=5). Best corrected visual acuity improved from a median of 6\/30 (0.7 logMAR) to a median of 6\/12 (0.35 logMAR) (P=0.06); postoperative astigmatism measured 0.91\u00b12.19 diopters. UBM demonstrated well-balanced PCIOL fixation with no difference between the horizontal and vertical tilt measurements (P=0.84;P=0.94;P=0.62;P=0.085). The fixated PCIOL showed &lt; 10% decentration in reference to the visual axis. There was a high negative correlation between BCVA improvement and residual lens tilt (r=-0.76, P=0.037). Postoperative complications included transient ocular hypertension (n=3), corneal decompensation with subsequent keratoplasty (n=3), temporary hypotony (n=2), cystoid macular edema (n=1), suture exposure (n=1) and endophthalmitis(n=1).\nConclusions: Subluxated PCIOLs are amenable to treatment with minimally invasive fixation using Gore-Tex suture with good anatomic outcomes. UBM image analysis may serve as a valuable method for assessing PCIOL position following scleral fixation.<\/jats:p>","DOI":"10.1159\/000543255","type":"journal-article","created":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T17:00:32Z","timestamp":1734973232000},"page":"1-18","source":"Crossref","is-referenced-by-count":0,"title":["Ultrasound Biomicroscopy in scleral fixation using Gore-Tex suture of a subluxated PCIOL"],"prefix":"10.1159","author":[{"given":"Alon","family":"Tiosano","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4748-4685","authenticated-orcid":false,"given":"Ruti","family":"Sella","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orly","family":"Gal-Or","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"Zlatkin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"Ehrlich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irit","family":"Bahar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2024,12,23]]},"container-title":["Ophthalmologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/oph\/article-pdf\/doi\/10.1159\/000543255\/4318197\/000543255.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/karger.com\/oph\/article-pdf\/doi\/10.1159\/000543255\/4318197\/000543255.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:07:36Z","timestamp":1745420856000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000543255"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,23]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1159\/000543255","archive":["Portico"],"relation":{},"ISSN":["0030-3755","1423-0267"],"issn-type":[{"type":"print","value":"0030-3755"},{"type":"electronic","value":"1423-0267"}],"subject":[],"published":{"date-parts":[[2024,12,23]]}}}