{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T04:46:53Z","timestamp":1790398013302,"version":"4.1.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"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":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>\n                      Managing intraocular lens (IOL) implantation in patients with insufficient capsular support can be challenging. This study compares the safety and efficacy of Akreos AO\n                      <jats:sup>\u00ae<\/jats:sup>\n                      z-suture scleral fixation and Artisan Aphakia IOL\n                      <jats:sup>\u00ae<\/jats:sup>\n                      retropupillary iris claw techniques for patients lacking capsular and zonular support.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>This retrospective study was conducted at Unidade Local de Sa\u00fade de Matosinhos, Portugal, between June 2012 and December 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Seventy-eight eyes of 76 patients were included. Preoperative and one-year postoperative data were collected, including best-corrected visual acuity (BCVA), spherical equivalent, intraocular pressure, and complications. Statistical analysis was performed with SPSS Statistics, version 29.0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The most common indications for surgery were complicated cataract surgery (38.5%), spontaneous IOL luxation (37.2%), trauma (15.4%), and Marfan syndrome (5.1%). Postoperative BCVA at one year was 0.38\u2009\u00b1\u20090.45 logMAR in the scleral fixation group and 0.50\u2009\u00b1\u20090.43 logMAR in the artisan group (p\u2009=\u20090.23). The most common complication was the luxation of one of the haptics of the lens, all in the artisan group (5 eyes).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and\/or Conclusion<\/jats:title>\n                    <jats:p>No significant difference in postoperative BCVA was found between the two techniques. However, the artisan group had a higher complication rate, suggesting that this should be considered when selecting the surgical approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721261432867","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T12:16:29Z","timestamp":1774527389000},"page":"1221-1227","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Outcomes of Z-suture scleral fixation and retropupillary iris-claw in patients with insufficient capsular support: A comparative study"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3152-542X","authenticated-orcid":false,"given":"Catarina","family":"Francisco","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Unidade Local de Sa\u00fade de Matosinhos, Matosinhos, Portugal"},{"name":"PDICSS, Faculty of Medicine, Porto University, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5780-0450","authenticated-orcid":false,"given":"Renato Correia","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Unidade Local de Sa\u00fade de Matosinhos, Matosinhos, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Carvalho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Tened\u00f3rio","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Unidade Local de Sa\u00fade de Matosinhos, Matosinhos, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,26]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000001046"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000000954"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/aos.14824"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/aos.14090"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-80292-3"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00055735-200102000-00009"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0161-6420(94)31083-9"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1987.01060010058031"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2011.03.051"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0886-3350(96)80151-9"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1989.01070020140048"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/11206721241230566"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1990.01070110021001"},{"key":"e_1_3_2_15_2","first-page":"692","article-title":"Ab externo sulcus fixation","volume":"22","author":"Lewis JS","year":"1991","unstructured":"Lewis JS. 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