{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T22:17:50Z","timestamp":1792275470476,"version":"4.4.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T00:00:00Z","timestamp":1774051200000},"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":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To present our results using a novel \u201cflapless\u201d trocar-assisted intrascleral fixation technique for Carlevale intraocular lens (IOL) Implantation without conjunctival opening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective, non-comparative study of consecutive patients undergoing this technique. Patients older than 18 years who had at least two years post-operative follow-up were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>61 eyes of 61 consecutive patients were included in the analysis. The study sample included 55.74% males with a median age of 76 years (interquartile range (IQR): 67\u201382 years). The mean follow-up period was 48.9 months (SD\u2009\u00b1\u200914.38) and the range was between 26 and 76 months. A statistically significant difference was observed between the median pre-operative visual acuity value (1.8LogMAR, IQR: 1.0\u20131.8) and the median postoperative value visual acuity (0.05 LogMAR, IQR: 0.0\u20130.1). No intraoperative complications occurred and, the Carlevale IOL was well centered in all cases. No haptic exposure was observed during the follow-up period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The results of our study demonstrate that the proposed technique is a simplified, safe and effective surgical approach for placement of the Carlevale IOL. Further studies are needed to validate our data and explore the results of a longer follow-up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721261435270","type":"journal-article","created":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T14:16:49Z","timestamp":1774102609000},"page":"1110-1117","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["\u201cFlapless\u201d trocar-assisted intrascleral fixation technique for Carlevale IOL implantation without conjunctival opening: A novel approach"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7358-1251","authenticated-orcid":false,"given":"Petros","family":"Petrou","sequence":"first","affiliation":[{"name":"National and Kapodistrian University of 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