{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:38:30Z","timestamp":1777581510207,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,12,6]],"date-time":"2023-12-06T00:00:00Z","timestamp":1701820800000},"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":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the visual outcome of intraocular lens (IOL) exchange for the management of myopic shift in pseudophakic children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The medical records of children who underwent IOL exchange for myopic shift were examined. The preoperative data, operative details and the postoperative outcome were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty-one eyes (16 patients) were identified. Mean age at cataract extraction was 20\u2009\u00b1\u200926 months (range, 2\u201384 months). Twelve patients (6 unilateral, 6 bilateral) had primary IOL implantation. Mean age at IOL exchange was 7.3\u2009\u00b1\u20093.2 years. Mean spherical equivalent (SE) at IOL exchange was \u221214\u2009\u00b1\u20095 D (range, \u22127 to \u221221 D): Mean SE at IOL exchange was \u221213.64\n                      <jats:sub>\u2009<\/jats:sub>\n                      \u00b1\u20094.99 D, \u221212\u2009\u00b1\u20091.53 D, and \u221215.5\u2009\u00b1\u20094.7 D in unilaterally pseudophakic cases (8 patients), in the eye that underwent unilateral IOL exchange (3 patients) in bilaterally pseudophakic cases, and in bilateral IOL exchange cases (5 patients), respectively. Mean axial length at IOL exchange was 24\u2009\u00b1\u20091.3\u2005mm (range, 23 to 27\u2005mm). Following IOL exchange, mean SE was reduced to \u22122\u2009\u00b1\u20091.8 D (range, \u22124 to +2.5 D). An average of three logMAR line improvement in the best-corrected visual acuity was observed in 12\/16 eyes of patients for whom pre- and post-exchange visual acuity were available, while visual acuity remained unchanged in 4 eyes. Mean logMAR visual acuity improvement was 0.35 and 0.49 in unilateral and bilateral pseudophakic cases, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>IOL exchange is a safe procedure that should be considered to improve visual rehabilitation in pseudophakic patients with myopic shift.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721231218299","type":"journal-article","created":{"date-parts":[[2023,12,6]],"date-time":"2023-12-06T17:14:44Z","timestamp":1701882884000},"page":"1029-1035","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Outcome of intraocular lens exchange for the management of myopic shift in pseudophakic children"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3132-4094","authenticated-orcid":false,"given":"Rasha","family":"Zedan","sequence":"first","affiliation":[{"name":"Ophthalmology Department, Faculty of Medicine, Cairo University, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3676-796X","authenticated-orcid":false,"given":"Christina S.","family":"Farag","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Faculty of Medicine, Cairo University, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5868-5055","authenticated-orcid":false,"given":"Jylan","family":"Gouda","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Faculty of Medicine, Cairo University, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9448-1065","authenticated-orcid":false,"given":"Ahmed","family":"Awadein","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Faculty of Medicine, Cairo University, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hala","family":"Elhilali","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Faculty of Medicine, Cairo University, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dina H","family":"Hassanein","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Faculty of Medicine, Cairo University, Cairo, 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