{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T02:20:56Z","timestamp":1784859656595,"version":"3.55.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,7,25]],"date-time":"2020-07-25T00:00:00Z","timestamp":1595635200000},"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":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the visual outcomes, safety, efficacy, and causes of bilensectomy for iris fixated phakic intraocular lenses (pIOLs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a two center consecutive retrospective study that included 43 eyes that underwent iris-claw pIOL bilensectomy. Patients with follow up less than 4\u2009months were excluded from the study. Uncorrected, corrected visual acuity (UCVA, CDVA), refractive outcomes, efficacy, safety (number of eyes in which the postoperative CDVA was worse than the preoperative CDVA), endothelial cell density (ECD), causes of bilensectomy, the time between the implantation of the pIOL and bilensectomy, intra and postoperative complications were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There was a statistically significant improvement in UCVA and CDVA after surgery ( p = 0.001). The efficacy index was 0.7, four eyes had a postoperative CDVA worse than the preoperative CDVA. The mean spherical equivalent 1\u2009year after bilensectomy was \u22120.78 \u00b1 1.70 D. There was a statistically significant endothelial cell loss after iris claw lens bilensectomy ( p = .003). Cataract development and endothelial cell loss were the only reasons for bilensectomy. The mean time between pIOL implantation and bilensectomy was 12.2 \u00b1 5.5\u2009years. One patient had corneal edema 8\u2009months after surgery and one had a retinal detachment 11\u2009months after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Bilensectomy was successful in improving UCVA and CDVA with an acceptable refractive outcome. Significant loss of ECD was found after surgery. The results recommend a larger ACD as selection criteria when choosing to implant an Artisan lens, and a close postoperative monitoring of the endothelial cell count.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120672120944033","type":"journal-article","created":{"date-parts":[[2020,7,25]],"date-time":"2020-07-25T08:00:21Z","timestamp":1595664021000},"page":"1795-1801","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Safety and visual outcomes following Iris-claw phakic intraocular lens bilensectomy"],"prefix":"10.1177","volume":"31","author":[{"given":"Veronica","family":"Vargas","sequence":"first","affiliation":[{"name":"Cornea, Cataract and Refractive Surgery Department, VISSUM, Alicante, Spain"},{"name":"Research & Development Department, VISSUM, Alicante, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Marinho","sequence":"additional","affiliation":[{"name":"Hospital da Luz Arr\u00e1bida Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fouad","family":"El Sayyad","sequence":"additional","affiliation":[{"name":"Cornea, Cataract and Refractive Surgery Department, VISSUM, Alicante, Spain"},{"name":"Research & Development Department, VISSUM, Alicante, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2666-3366","authenticated-orcid":false,"given":"Jorge L","family":"Alio del Barrio","sequence":"additional","affiliation":[{"name":"Cornea, Cataract and Refractive Surgery Department, VISSUM, Alicante, Spain"},{"name":"Research & Development Department, VISSUM, Alicante, Spain"},{"name":"Universidad Miguel Hern\u00e1ndez, School of Medicine, Alicante, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8082-1751","authenticated-orcid":false,"given":"Jorge L","family":"Alio","sequence":"additional","affiliation":[{"name":"Cornea, Cataract and Refractive Surgery Department, VISSUM, Alicante, Spain"},{"name":"Research & Development Department, VISSUM, Alicante, Spain"},{"name":"Universidad Miguel Hern\u00e1ndez, School of Medicine, Alicante, Spain"},{"name":"IBERIA eye bank, Oftalred, Universidad Miguel Hern\u00e1ndez, Alicante, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,7,25]]},"reference":[{"key":"bibr1-1120672120944033","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(89)90264-X"},{"key":"bibr2-1120672120944033","first-page":"93","volume":"15","author":"Fechner PU","year":"1999","journal-title":"J Refract Surg"},{"key":"bibr3-1120672120944033","doi-asserted-by":"publisher","DOI":"10.3928\/1081-597X-20050701-05"},{"key":"bibr4-1120672120944033","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2013.07.052"},{"key":"bibr5-1120672120944033","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20170616-02"},{"key":"bibr6-1120672120944033","doi-asserted-by":"publisher","DOI":"10.4103\/2008-322X.194140"},{"key":"bibr7-1120672120944033","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0000000000000161"},{"key":"bibr8-1120672120944033","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2010.08.014"},{"key":"bibr9-1120672120944033","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2016.08.027"},{"key":"bibr10-1120672120944033","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2008.03.029"},{"key":"bibr11-1120672120944033","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(99)00381-8"},{"key":"bibr12-1120672120944033","unstructured":"IBERIA Biobank: a Collection of Intraocular Lenses and Other Ocular Explanted Devices in Spain and Portugal. 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