{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T09:30:56Z","timestamp":1777627856643,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T00:00:00Z","timestamp":1731888000000},"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":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>A concave iris configuration is a characteristic feature of pigment dispersion syndrome (PDS). Therapeutic strategies to modify this configuration may be considered as first-line options for the treatment of ocular hypertension in PDS patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case description<\/jats:title>\n                    <jats:p>A 37-year-old male patient with myopic anisometropia presented bilateral PDS with concave iris, Krukenberg's spindle and iris transillumination defect in both eyes. The intraocular pressure (IOP) was 27\u2005mmHg in both eyes. Optic nerve and visual field parameters were normal. The right eye was treated with a neodymium:YAG LPI. In the left eye, an implantable collamer lens (ICL) V4c model implantation for myopia correction was performed. Six-months postoperatively, both eyes evidenced an anteriorization of the iris, the morphology of the concave iris improved with the ICL V4c in place, becaming flattener in left eye. The IOP was 18\u2005mmHg without treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case report reinforces the idea that in myopic patients with a concave iris, the refractive correction approach through ICL V4c implantation might also improve the iris configuration, similarly to laser peripheral iridotomy (LPI). Therefore, in this specific patient profile, this surgical procedure might be considered as a prophylactic treatment alternative to prevent the complications associated with this iris configuration, although its invasive nature should be taken into consideration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721241296906","type":"journal-article","created":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T01:59:11Z","timestamp":1731981551000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A pigment dispersion syndrome case with concave iris and ocular hypertension managed through a phakic ICL implantation"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9557-6691","authenticated-orcid":false,"given":"Ignacio","family":"Rodriguez-Una","sequence":"first","affiliation":[{"name":"Instituto Universitario Fern\u00e1ndez-Vega, Oviedo, Spain"},{"name":"Fundaci\u00f3n de Investigaci\u00f3n Oftalmol\u00f3gica, University of Oviedo, Oviedo, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Fern\u00e1ndez-Vega-Cueto","sequence":"additional","affiliation":[{"name":"Instituto Universitario Fern\u00e1ndez-Vega, Oviedo, Spain"},{"name":"Fundaci\u00f3n de Investigaci\u00f3n Oftalmol\u00f3gica, University of Oviedo, Oviedo, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bel\u00e9n","family":"Alfonso-Bartolozzi","sequence":"additional","affiliation":[{"name":"Instituto Universitario Fern\u00e1ndez-Vega, Oviedo, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9s","family":"Fern\u00e1ndez-Vega-Cueto","sequence":"additional","affiliation":[{"name":"Instituto Universitario Fern\u00e1ndez-Vega, Oviedo, Spain"},{"name":"Fundaci\u00f3n de Investigaci\u00f3n Oftalmol\u00f3gica, University of Oviedo, Oviedo, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4870-5862","authenticated-orcid":false,"given":"Irene","family":"Mart\u00ednez-Alberquilla","sequence":"additional","affiliation":[{"name":"Clinical and Experimental Eye Research Group (CEER), Faculty of Optics and Optometry, Universidad Complutense de Madrid, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Madrid-Costa","sequence":"additional","affiliation":[{"name":"Clinical and Experimental Eye Research Group (CEER), Faculty of Optics and Optometry, Universidad Complutense de Madrid, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0373-8209","authenticated-orcid":false,"given":"Jose F.","family":"Alfonso","sequence":"additional","affiliation":[{"name":"Instituto Universitario Fern\u00e1ndez-Vega, Oviedo, Spain"},{"name":"Fundaci\u00f3n de Investigaci\u00f3n Oftalmol\u00f3gica, University of Oviedo, Oviedo, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,11,18]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00055735-199504000-00015"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2010.04.039"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2009.162065"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.124.11.1573"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2021.01.002"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/IJG.0b013e318168f02c"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40662-023-00335-4"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2013.01.036"},{"key":"e_1_3_4_10_2","article-title":"Peripheral iridotomy for pigmentary glaucoma","volume":"2","author":"Michelessi M","year":"2016","unstructured":"Michelessi M, Lindsley K. 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