{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:27:05Z","timestamp":1777580825888,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T00:00:00Z","timestamp":1604275200000},"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":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To report the visual and refractive outcomes of sequential intracorneal ring segment (ICRS) and toric phakic intraocular lens (IOL) insertion for visual rehabilitation in keratoconus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective interventional cohort study was performed through the Corneoplastics unit and Eye Bank, Queen Victoria Hospital, East Grinstead, United Kingdom.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>14 eyes of 12 patients had sequential ICRS and phakic IOL implantation for visual rehabilitation of keratoconus between June 2014 and February 2018. After at least 6\u2009months follow-up, the number of eyes with an uncorrected distance visual acuity (UDVA) of 20\/40 UDVA or better increased from zero (0%) to 10 (71%). 12 (85.7%) eyes achieved a post-operative UDVA equal to or better than the pre-operative corrected distance visual acuity (CDVA). The number percentage of eyes with a CDVA of 20\/40 or better increased from 3 (31%) to 14 (100%). The mean final spherical equivalent improved from \u22124.07 to \u22120.17 ( p\u2009\u2a7d\u20090.001). The mean refractive astigmatism magnitude improved from 4.76D to 1.23D ( p\u2009=\u20090.002). Seven (50%) eyes had 1.0D or less of refractive astigmatism post-operatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In this cohort of eyes with keratoconus, sequential ICRS and phakic IOL implantation resulted in excellent visual and refractive outcomes after at least 6\u2009months.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120672120969600","type":"journal-article","created":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T05:53:32Z","timestamp":1604296412000},"page":"2219-2226","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Outcomes of sequential intracorneal ring segment and phakic intraocular lens insertion for visual rehabilitation in keratoconus"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8513-9324","authenticated-orcid":false,"given":"Cameron A","family":"McLintock","sequence":"first","affiliation":[{"name":"Corneoplastic unit and Eye Bank, Queen Victoria Hospital, NHS Trust, East Grinstead, West Sussex, UK"},{"name":"Department of Ophthalmology, Princess Alexandra Hospital, Brisbane, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"McKelvie","sequence":"additional","affiliation":[{"name":"Corneoplastic unit and Eye Bank, Queen Victoria Hospital, NHS Trust, East Grinstead, West Sussex, UK"},{"name":"Department of Ophthalmology, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Miraflores Gomez","sequence":"additional","affiliation":[{"name":"Hospital Universitario de Torrevieja, Alicante, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zisis","family":"Gatzioufas","sequence":"additional","affiliation":[{"name":"Corneoplastic unit and Eye Bank, Queen Victoria Hospital, NHS Trust, East Grinstead, West Sussex, UK"},{"name":"Department of Ophthalmology, University Hospital Basel, Basel, BS, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Elalfy","sequence":"additional","affiliation":[{"name":"Corneoplastic unit and Eye Bank, Queen Victoria Hospital, NHS Trust, East Grinstead, West Sussex, UK"},{"name":"Cornea Unit, The Research Institute of Ophthalmology, Giza, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samer","family":"Hamada","sequence":"additional","affiliation":[{"name":"Corneoplastic unit and Eye Bank, Queen Victoria Hospital, NHS Trust, East Grinstead, West Sussex, 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