{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T18:24:35Z","timestamp":1783103075138,"version":"3.54.6"},"reference-count":13,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2021,12,13]],"date-time":"2021-12-13T00:00:00Z","timestamp":1639353600000},"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":[[2022,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To report the initial clinical outcomes of combining glaucoma surgery with flanged intrascleral intraocular lens (F-SFIOL) fixation as a single stage procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective, non-comparative case-series of eyes which underwent combined surgery for glaucoma with F-SFIOL and had at least 6-months of follow-up. A fellowship-trained senior glaucoma surgeon managed all the cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twelve-eyes of 10 glaucoma patients (8 males, 2 females) underwent F-SFIOL; only 8 of these eyes were combined with a glaucoma procedure. Mean age of patients was 55.1\u2009\u00b1\u200916.1 years (95%CI [44.4,73.2], median 61 years) and were followed-up for a mean of 21.0\u2009\u00b1\u20099.5 months, 95% CI [13.1,28.9], median 18 months. F-SFIOL was combined with trabeculectomy\u2009\u00b1\u2009Mitomycin C in 4 eyes, Ahmed Glaucoma Valve in 3 eyes and needling of a pre-existing bleb in 1. Each eye had controlled intraocular pressure (IOP) at last follow-up (pre-procedure 29.1\u2009\u00b1\u200913.4 mmHg, 95% CI [17.9, 40.3], median 27\u2005mmHg to 14.5\u2009\u00b1\u20093.2\u2005mmHg, 95% CI [11.8, 17.1], median 13\u2005mmHg, p\u2009=\u20090.006) and decreased need for number of anti-glaucoma medication (AGM) (pre-procedure 3.7\u2009\u00b1\u20091.1, 95% CI [2.8,4.6], median 4 to 0.7\u2009\u00b1\u20090.7, 95% CI [0.1,1.3] median 1, p\u2009&lt;\u20090.001). In all the eyes, best corrected visual acuity (BCVA) was either stable or improved; only 1 eye had astigmatism worse than that pre-existing. In 1 eye IOL was explanted, with an additional procedure to control IOP. No serious long-term complications occurred in any subject.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The initial experience of single-stage F-SFIOL along with glaucoma surgery, both being performed by the same anterior-segment surgeon, is promising, thereby avoiding the cost, specialised skill, and potential complications of a posterior approach. Glaucoma surgery combined with and adapted to suture-less, flap-less, glue-less intra-scleral IOL fixation is hitherto unreported.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721211066390","type":"journal-article","created":{"date-parts":[[2021,12,13]],"date-time":"2021-12-13T08:05:07Z","timestamp":1639382707000},"page":"2899-2906","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Combining flanged intrascleral IOL fixation with Glaucoma Surgery: Initial experience"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7830-283X","authenticated-orcid":false,"given":"Vanita","family":"Pathak-Ray","sequence":"first","affiliation":[{"name":"Department of Glaucoma, Centre for Sight, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aashish K","family":"Bansal","sequence":"additional","affiliation":[{"name":"Department of Cornea, Cataract and Refractive Surgery, Apollo Hospitals, Hyderabad, India"},{"name":"Department of Cornea, Cataract and Refractive Surgery, Centre for Sight, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Varun","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Department of Cornea, Cataract and Refractive Surgery, Centre for Sight, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,12,13]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2013-303625"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10792-020-01480-8"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/2474126417690650"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/IAE.0000000000000168"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/IJG.0000000000000344"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(01)00543-7"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/9824035"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2017.03.036"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2013.08.043"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_659_17"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_237_19"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000000437"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00055735-200102000-00009"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721211066390","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11206721211066390","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721211066390","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:45:30Z","timestamp":1777405530000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11206721211066390"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,13]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["10.1177\/11206721211066390"],"URL":"https:\/\/doi.org\/10.1177\/11206721211066390","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,13]]}}}