{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T06:53:43Z","timestamp":1790924023431,"version":"4.1.0"},"reference-count":27,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To present a versatile surgical technique using flanged polypropylene sutures for intrascleral fixation of both intraocular lenses (IOLs) and iris prostheses (IP) in cases of traumatic aphakia and aniridia, conditions frequently observed following penetrating ocular trauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Three cases of post-traumatic aphakia and aniridia were managed using flanged polypropylene suture intrascleral fixation of both the IOL and IP. The technique was adapted to the individual anatomical and clinical complexities of each case.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This technique provided stable and effective positioning of both the IOL and the IP in all three cases. The adaptability of the method facilitated successful visual and cosmetic rehabilitation, despite the presence of additional ocular structural challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The flanged intrascleral fixation technique offers a flexible and effective solution for managing complex cases of aphakia and aniridia following penetrating ocular trauma. Further studies with larger cohorts and longer follow-up are warranted to validate the long-term safety, stability, and visual outcomes of these iris prosthesis implantation techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721261488451","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T14:12:43Z","timestamp":1790604763000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Flanged intrascleral fixation for traumatic aphakia and aniridia: A versatile technique for IOL and iris prosthesis implantation"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1211-0007","authenticated-orcid":false,"given":"M\u00aa Victoria","family":"de Rojas Silva","sequence":"first","affiliation":[{"name":"Complexo Hospitalario Universitario A Coru\u00f1a"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"L\u00f3pez Gaona","sequence":"additional","affiliation":[{"name":"Complexo Hospitalario Universitario A Coru\u00f1a"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0161-9601","authenticated-orcid":false,"given":"Marta","family":"Delgado Rodr\u00edguez-Vispo","sequence":"additional","affiliation":[{"name":"Complexo Hospitalario Universitario A Coru\u00f1a"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0010-2213","authenticated-orcid":false,"given":"Adri\u00e1n","family":"Tob\u00edo Ruibal","sequence":"additional","affiliation":[{"name":"Department of Optometry, Victoria de Rojas Instituto Oftalmol\u00f3gico, Cl\u00ednica Assistens, Grupo Ribera, A Coru\u00f1a, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2017.06.003"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0000000000000253"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000001147"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2022.01.029"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2004.12.060"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2015-306839"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0000000000002185"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000001154"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000000600"},{"key":"e_1_3_4_11_2","article-title":"Modified Canabrava technique with a four-closed loop intraocular lens injected in the anterior chamber","volume":"13","author":"Canabrava S","year":"2024","unstructured":"Canabrava S, Carvalho MS, Mahler O, et al. Modified Canabrava technique with a four-closed loop intraocular lens injected in the anterior chamber. JCRS Online Case Rep 2024; 13: e00140.","journal-title":"JCRS Online Case Rep"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000000261"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/11206721231180324"},{"key":"e_1_3_4_14_2","article-title":"Scleral fixation of iris-Intraocular lens complex (Reper\u00ae) with Canabrava double-flanged technique: a case report","volume":"86","author":"\u00d6zcan","unstructured":"\u00d6zcan and Aydam\u0131rov . Scleral fixation of iris-Intraocular lens complex (Reper\u00ae) with Canabrava double-flanged technique: a case report. Arq Bras Oftalmol 2023 13; 86: e20230060.","journal-title":"Arq Bras Oftalmol"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/medicina60060865"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2017.03.036"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-016-3292-3"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12886-016-0268-3"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000000738"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000001024"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2021.04.017"},{"key":"e_1_3_4_22_2","article-title":"Endophthalmitis associated with flange exposure after a 4-flanged Canabrava fixation technique","volume":"9","author":"Roditi E","year":"2020","unstructured":"Roditi E, Brosh K, Assayag E, et al. Endophthalmitis associated with flange exposure after a 4-flanged Canabrava fixation technique. JCRS Online Case Rep 2020; 9: e000 42\u201345.","journal-title":"JCRS Online Case Rep"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000000446"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000000896"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1080\/08164622.2021.1924629"},{"key":"e_1_3_4_26_2","article-title":"Outcomes of flanged 6-0 polypropylene intrascleral fixation for repositioning dislocated in-the-bag intraocular lenses","author":"de Rojas Silva MV","unstructured":"de Rojas Silva MV, Rodr\u00edguez G\u00f3mez M, Maceira Saya A, et al. Outcomes of flanged 6-0 polypropylene intrascleral fixation for repositioning dislocated in-the-bag intraocular lenses. J Cataract Refract Surg. 2026 Feb 25. 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