{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:04:57Z","timestamp":1790697897174,"version":"4.1.0"},"reference-count":52,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"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":["Journal of VitreoRetinal Diseases"],"abstract":"<jats:p>\n                    <jats:bold>Purpose:<\/jats:bold>\n                    To identify variables associated with successful surgical outcomes in eyes receiving a scleral-sutured intraocular lens (IOL).\n                    <jats:bold>Methods:<\/jats:bold>\n                    Eyes of patients ages \u226518 years at time of IOL insertion and with \u22651 follow-up visit were included. Eyes with concurrent ophthalmic procedures other than pars plana vitrectomy or with follow-up at outside institutions were excluded. Demographic, biometric, preoperative, intraoperative, and 3-month postoperative variables were collected from electronic medical records. Success following scleral-sutured IOL placement was defined primarily as vision improvement (visual acuity 20\/40 or better or \u22653 Snellen lines of improvement) and secondarily as refractive improvement (within 0.5 diopters of refractive target) at 3 months postoperatively. Comparisons of success vs failure groups included\n                    <jats:italic toggle=\"yes\">t<\/jats:italic>\n                    tests, Wilcoxon signed-rank tests, \u03c7\n                    <jats:sup>2<\/jats:sup>\n                    tests, and Fisher exact tests. Using a random forest model, associated variables were identified and incorporated into multivariable logistic regression to determine the likelihood of vision and refractive success, expressed as odds ratios (ORs) with 95% CIs.\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    values less than or equal to .05 were considered significant.\n                    <jats:bold>Results:<\/jats:bold>\n                    A total of 182 eyes received a scleral-sutured IOL. At 3 months postoperatively, the median number of complications was 0, and the improvement in logMAR visual acuity was 37%. In total, 72% of eyes met vision success criteria. Worse preoperative vision was associated with higher odds of 3-month postoperative vision success (OR, 3.92, 95% CI, 2.03\u20138.66;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001), whereas having more preexisting ocular conditions compared with fewer preexisting ocular conditions (OR, 0.55, 95% CI, 0.37\u20130.78;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .001) and use of CZ70BD lenses compared with use of Akreos AO60 lenses (OR, 0.23, 95% CI, 0.07\u20130.72;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .01) were associated with lower odds of vision success. In total, 24% of eyes met refractive success criteria. Lower power IOLs were associated with refractive success (mean IOL power, 16.4 diopters vs 18.0 diopters in success vs failure groups;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .05), showing a positive correlation (R = 0.3,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .002).\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    This study suggests that preoperative ocular status and intraoperative considerations, like lens brand, may affect patient outcomes. Ultimately, this may guide surgical planning and postoperative expectations for visual and refractive potential after scleral-sutured IOL implantation.\n                  <\/jats:p>","DOI":"10.1177\/24741264261457976","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T11:57:07Z","timestamp":1782734227000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Influencing Visual and Refractive Outcomes for Scleral-Sutured Intraocular Lenses"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4827-6906","authenticated-orcid":false,"given":"Sonia B.","family":"Kim","sequence":"first","affiliation":[{"name":"Case Western Reserve University School of Medicine, Cleveland, OH, USA"},{"name":"Center for Ophthalmic Bioinformatics, Cleveland Clinic, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4206-9781","authenticated-orcid":false,"given":"Kevin C.","family":"Allan","sequence":"additional","affiliation":[{"name":"Center for Ophthalmic Bioinformatics, Cleveland Clinic, Cleveland, OH, USA"},{"name":"Cleveland Clinic Cole Eye Institute, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy S.","family":"Nowacki","sequence":"additional","affiliation":[{"name":"Case Western Reserve University School of Medicine, Cleveland, OH, USA"},{"name":"Department of Quantitative Health Sciences of the Cleveland Clinic Foundation, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Sharma","sequence":"additional","affiliation":[{"name":"Center for Ophthalmic Bioinformatics, Cleveland Clinic, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Braunrot","sequence":"additional","affiliation":[{"name":"Case Western Reserve University School of Medicine, Cleveland, OH, USA"},{"name":"Center for Ophthalmic Bioinformatics, Cleveland Clinic, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akiva","family":"Eleff","sequence":"additional","affiliation":[{"name":"Center for Ophthalmic Bioinformatics, Cleveland Clinic, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7725-1631","authenticated-orcid":false,"given":"Aleksandra","family":"Rachitskaya","sequence":"additional","affiliation":[{"name":"Center for Ophthalmic Bioinformatics, Cleveland Clinic, Cleveland, OH, USA"},{"name":"Cleveland Clinic Cole Eye Institute, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Talcott","sequence":"additional","affiliation":[{"name":"Center for Ophthalmic Bioinformatics, Cleveland Clinic, Cleveland, OH, USA"},{"name":"Cleveland Clinic Cole Eye Institute, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Yuan","sequence":"additional","affiliation":[{"name":"Center for Ophthalmic Bioinformatics, Cleveland Clinic, Cleveland, OH, USA"},{"name":"Cleveland Clinic Cole Eye Institute, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5235-4869","authenticated-orcid":false,"given":"Leanne","family":"Clevenger","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Cole Eye Institute, Cleveland, OH, USA"},{"name":"University of Kentucky, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pop.2015.05.012"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4557-2874-9.00008-9"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4377-2636-7.00008-2"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0b013e3282f2ccc8"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/aos.15694"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.2147\/IMCRJ.S117911"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6257(97)00140-9"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000000558"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.3928\/23258160-20211213-01"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0b013e32834cd5e5"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2014.10.016"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2018.04.023"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.21037\/apm-21-3767"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S399857"},{"key":"e_1_3_2_16_2","unstructured":"Kumar B Muni I. 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