{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T13:39:59Z","timestamp":1793021999735,"version":"4.5.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"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":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the visual, refractive, and anatomical outcomes, as well as the early safety and stability of the sclerocorneal flanged monofixation technique in eyes with advanced zonular dialysis undergoing cataract extraction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective interventional case series included 22 eyes of 17 patients who underwent phacoemulsification and in-the-bag IOL implantation using the Telegin sclerocorneal flanged monofixation technique between January 2022 and June 2023. Postoperative evaluations included best-corrected visual acuity (BCVA), intraocular pressure (IOP), Scheimpflug-based analysis of IOL tilt and decentration, anterior segment optical coherence tomography (AS-OCT) assessment of flange depth, and endothelial cell density (ECD) measurement by specular microscopy.\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/journals.sagepub.com\/doi\/suppl\/10.1177\/11206721261445693\">Supplementary Video 1<\/jats:ext-link>\n                      demonstrates the surgical steps.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean age was 62.4\u2009\u00b1\u20094.7 years. BCVA improved significantly from 0.27\u2009\u00b1\u20090.19 preoperatively to 0.83\u2009\u00b1\u20090.32 at 6 months (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with no significant change in IOP (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.764). The mean IOL tilt was 0.7\u2009\u00b1\u20090.3\u00b0, mean decentration 0.11\u2009\u00b1\u20090.06\u2005mm, and mean flange depth 225\u2009\u00b1\u200940\u2005\u00b5m. The mean pre- and postoperative ECD values were 2,374\u2009\u00b1\u2009423 and 2,356\u2009\u00b1\u2009390 cells\/mm\n                      <jats:sup>2<\/jats:sup>\n                      , respectively (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.18). No intraoperative or postoperative complications occurred, and only one patient (4.5%) reported transient dysphotopsia that resolved by 3 months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The sclerocorneal flanged monofixation technique offers excellent early IOL stability, minimal endothelial cell loss, and high visual performance in eyes with zonular dialysis. Its simplicity, reproducibility, and lack of suture-related complications make it a promising, cost-effective alternative to traditional modified capsular tension ring or double-flanged haptic techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721261445693","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:32:16Z","timestamp":1777465936000},"page":"1562-1567","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A novel method for managing advanced zonular dialysis: Sclerocorneal flanged monofixation of intraocular lens and capsular bag complex"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8268-536X","authenticated-orcid":false,"given":"Cumali","family":"Degirmenci","sequence":"first","affiliation":[{"name":"Ege University Faculty of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7779-4270","authenticated-orcid":false,"given":"Zeynep","family":"Akgun","sequence":"additional","affiliation":[{"name":"Ege University Faculty of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2494-0131","authenticated-orcid":false,"given":"Melis","family":"Palamar","sequence":"additional","affiliation":[{"name":"Ege University Faculty of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,29]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.18240\/ijo.2023.07.12"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.4274\/tjo.galenos.2023.76300"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1120672121992950"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1995.01100080112038"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(98)80218-6"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/ceo.13975"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(02)01604-8"},{"key":"e_1_3_2_9_2","first-page":"507","article-title":"Capsular tension rings: update on endocapsular support devices","volume":"19","author":"Hasanee K","year":"2006","unstructured":"Hasanee K, Ahmed IIK. 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