{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T19:52:52Z","timestamp":1777578772511,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2010,9,1]],"date-time":"2010-09-01T00:00:00Z","timestamp":1283299200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2010,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To describe the surgical technique and clinical outcome of deep anterior lamellar keratoplasty (DALK) with Intacs explantation in patients with poor visual outcome after Intacs implantation for keratoconus correction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>TWO patients with bilateral keratoconus underwent Intacs segment implantation. Due to poor visual outcome and patient dissatisfaction, the Intacs segments were explanted and a big bubble-assisted DALK procedure was performed at the time of Intacs removal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>DALK could be successfully completed in both cases. There were no postoperative complications. At 2 years follow-up, the grafts were clear in both patients, with a best spectacle-corrected visual acuity of 20\/25.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A modified big bubble-assisted DALK procedure can be performed in keratoconic eyes requiring Intacs explantation and may provide a better alternative to a penetrating keratoplasty.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/112067211002000510","type":"journal-article","created":{"date-parts":[[2018,1,24]],"date-time":"2018-01-24T11:03:19Z","timestamp":1516791799000},"page":"874-878","source":"Crossref","is-referenced-by-count":4,"title":["Deep Anterior Lamellar Keratoplasty with Intacs Explantation in Keratoconus"],"prefix":"10.1177","volume":"20","author":[{"given":"Jeewan S.","family":"Titiyal","sequence":"first","affiliation":[{"name":"Cornea and Refractive Surgery Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi - India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bhavna","family":"Chawla","sequence":"additional","affiliation":[{"name":"Cornea and Refractive Surgery Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi - India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Namrata","family":"Sharma","sequence":"additional","affiliation":[{"name":"Cornea and Refractive Surgery Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi - India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,1,24]]},"reference":[{"key":"bibr1-112067211002000510","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2006.08.057"},{"key":"bibr2-112067211002000510","doi-asserted-by":"publisher","DOI":"10.1097\/01.ico.0000167883.63266.60"},{"key":"bibr3-112067211002000510","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2006.01.064"},{"key":"bibr4-112067211002000510","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(02)01824-X"},{"key":"bibr5-112067211002000510","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2006.08.059"},{"key":"bibr6-112067211002000510","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2007.02.036"},{"key":"bibr7-112067211002000510","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e318183a40c"},{"key":"bibr8-112067211002000510","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(01)01181-6"},{"key":"bibr9-112067211002000510","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6257(97)00119-7"},{"key":"bibr10-112067211002000510","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(00)00430-2"},{"key":"bibr11-112067211002000510","doi-asserted-by":"publisher","DOI":"10.3928\/1081-597X-20010101-09"},{"key":"bibr12-112067211002000510","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2007.02.048"},{"key":"bibr13-112067211002000510","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2006.02.012"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/112067211002000510","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/112067211002000510","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:35:32Z","timestamp":1777404932000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/112067211002000510"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,9]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2010,9]]}},"alternative-id":["10.1177\/112067211002000510"],"URL":"https:\/\/doi.org\/10.1177\/112067211002000510","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,9]]}}}