{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:39:09Z","timestamp":1777581549172,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,6,21]],"date-time":"2020-06-21T00:00:00Z","timestamp":1592697600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To report a series of novel optical coherence tomography (SD-OCT) foveal abnormalities, that we called \u201cT-sign,\u201d that were noticed after a complicated cataract surgery with posterior capsule rupture and vitreous loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective case series of persistent foveal changes that incurred after anteroposterior vitreo-foveal traction secondary to phacoemulsification in presence of posterior capsule rupture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The study included three eyes of three patients that incurred in complicated cataract surgery and intraoperative vitreo-foveal traction. During 8-month follow-up period peculiar abnormalities in fundus examination and in OCT scans were reported in all cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Phacoemulsification in presence of posterior capsule rupture could induce a vitreo-foveal strain that could be transmitted to the cone outer segment tips (COST line) and inner\u2013outer segment (IS\/OS) junction. This focal stress is liable for \u201cT-sign,\u201d a persistent SD-OCT abnormality that induce a visual impairment and a slight metamorphopsia in the fixation point.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summary statement<\/jats:title>\n                    <jats:p>\n                      All over the world, more than 9.5\u2009million cataract surgeries are completed each year.\n                      <jats:sup>1<\/jats:sup>\n                      During surgery, many intraoperative complications could occur, and capsule rupture with vitreous loss is a frequent event. Phacoemulsification in presence of a wide posterior capsule rupture and vitreo-macular adhesion could induce a typical modification of the foveal structure and a permanent visual impairment.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120672120937661","type":"journal-article","created":{"date-parts":[[2020,6,22]],"date-time":"2020-06-22T03:06:14Z","timestamp":1592795174000},"page":"NP41-NP44","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["An anomalous foveal OCT-sign after posterior capsule rupture in cataract surgery: Complicated cataract surgery maculopathy"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7428-4531","authenticated-orcid":false,"given":"Pietro Maria","family":"Talli","sequence":"first","affiliation":[{"name":"Ospedale Santa Maria della Misericordia, Rovigo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emilio","family":"Pedrotti","sequence":"additional","affiliation":[{"name":"University of Verona, Verona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo","family":"Sacconi","sequence":"additional","affiliation":[{"name":"University Vita-Salute San Raffaele, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Monterosso","sequence":"additional","affiliation":[{"name":"Ospedale dell\u2019Angelo, Mestre, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigi","family":"Caretti","sequence":"additional","affiliation":[{"name":"Ospedale Santa Maria della Misericordia, Rovigo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,6,21]]},"reference":[{"issue":"34","key":"bibr1-1120672120937661","first-page":"17","volume":"13","author":"Foster A.","year":"2000","journal-title":"Community Eye Health"},{"key":"bibr2-1120672120937661","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-9071.2009.02041.x"},{"key":"bibr3-1120672120937661","doi-asserted-by":"publisher","DOI":"10.1097\/IAE.0b013e3181e7997b"},{"key":"bibr4-1120672120937661","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2013.07.042"},{"key":"bibr5-1120672120937661","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1097\/00006982-200310000-00004","volume":"23","author":"Gass JD.","year":"2003","journal-title":"Retina"},{"key":"bibr6-1120672120937661","doi-asserted-by":"publisher","DOI":"10.1159\/000488956"},{"key":"bibr7-1120672120937661","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2019-314245"},{"key":"bibr8-1120672120937661","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2007.05.013"},{"key":"bibr9-1120672120937661","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.09-4159"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120672120937661","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1120672120937661","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120672120937661","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:45:53Z","timestamp":1777405553000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1120672120937661"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,21]]},"references-count":9,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1177\/1120672120937661"],"URL":"https:\/\/doi.org\/10.1177\/1120672120937661","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,21]]}}}