{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T04:20:28Z","timestamp":1780460428421,"version":"3.54.1"},"reference-count":10,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T00:00:00Z","timestamp":1699401600000},"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":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>\n                      To present the outcomes of a patient with anterior chamber intraocular lens (ACIOL) related endothelial decompensation who underwent Descemet membrane endothelial keratoplasty (DMEK) and cataract surgery with intraocular lens (IOL) implantation in the capsular bag (so-called\n                      <jats:italic>triple<\/jats:italic>\n                      DMEK) combined with ACIOL removal (\n                      <jats:italic>quadruple<\/jats:italic>\n                      DMEK) in both eyes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Case report<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A 58-year-old female patient was referred due to decreased visual acuity within the last 18 months. She had a history of iris-claw ACIOL implantation 17 years before. The corrected distance visual acuity (CDVA) was 20\/40 in both eyes. Due to low endothelial cell density and increased corneal thickness, ACIOL removal combined with\n                      <jats:italic>triple<\/jats:italic>\n                      DMEK (as\n                      <jats:italic>quadruple<\/jats:italic>\n                      DMEK) was performed for both eyes. Despite a graft detachment that was successfully managed with re-bubbling in the first eye, both eyes showed an increase in the CDVA (20\/25 and 20\/32, respectively) without any other significant complications in the follow-up of the patient. The corneas of both eyes were clear postoperatively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      This case report demonstrated that\n                      <jats:italic>quadruple<\/jats:italic>\n                      DMEK may provide feasible management for chronic endothelial cell decompensation secondary to iris-claw ACIOL implantation.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721231213684","type":"journal-article","created":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T03:41:28Z","timestamp":1699501288000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Anterior chamber intraocular lens removal combined with triple DMEK: Quadruple DMEK for bullous keratopathy"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8132-495X","authenticated-orcid":false,"given":"Burak","family":"Mergen","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Saarland University Medical Center (UKS), Homburg\/Saar, Germany"},{"name":"Department of Ophthalmology, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Berger","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Saarland University Medical Center (UKS), Homburg\/Saar, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3284-9901","authenticated-orcid":false,"given":"Lo\u00efc","family":"Hamon","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Saarland University Medical Center (UKS), Homburg\/Saar, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loay","family":"Daas","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Saarland University Medical Center (UKS), Homburg\/Saar, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9701-8204","authenticated-orcid":false,"given":"Berthold","family":"Seitz","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Saarland University Medical Center (UKS), Homburg\/Saar, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,11,8]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/5967509"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/J.JCRS.2013.05.045"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2009.11.002"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0000000000000519"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/J.AJO.2014.09.002"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/2038232"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/S00347-020-01134-1"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e31826ef43b"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/J.JCRS.2008.06.015"},{"key":"e_1_3_2_11_2","doi-asserted-by":"crossref","unstructured":"Dubinsky-Pertzov B Shamir Y Center M et al. Comparison of ACIOL Exchange and Descemet Membrane Endothelial Keratoplasty with ACIOL Retention and Descemet Stripping Automated Endothelial Keratoplasty in the Setting of Pseudophakic Bullous Keratopathy. 17 May 2021 PREPRINT (Version 1) available at Research Square. https:\/\/doi.org\/10.21203\/rs.3.rs-499850\/v1","DOI":"10.21203\/rs.3.rs-499850\/v1"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721231213684","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11206721231213684","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721231213684","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:45:44Z","timestamp":1777405544000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11206721231213684"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,8]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1177\/11206721231213684"],"URL":"https:\/\/doi.org\/10.1177\/11206721231213684","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,8]]}}}