{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T21:17:29Z","timestamp":1768425449374,"version":"3.49.0"},"reference-count":28,"publisher":"Knowledge E DMCC","license":[{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["knepublishing.com"],"crossmark-restriction":true},"short-container-title":["JOVR"],"abstract":"<jats:p>Purpose: To report the outcomes of lensectomy, anterior vitrectomy, and iris-claw lens implantation in patients with spherophakia- or microspherophakia-related glaucoma.\nMethods: In this retrospective case series, we focused on patients with isolated microspherophakia or microspherophakia associated with various syndromes and mild to moderate angle-closure glaucoma who had undergone lensectomy, anterior vitrectomy, and iris-claw lens implantation.\nResults: We analyzed a total of 12 eyes of 6 patients with a mean age of 19 \u00b1 6 years and a mean postoperative follow-up of 66 \u00b1 12 months. All patients had lenticular myopia, and the mean refraction improved from \u22127.26 \u00b1 0.67 diopters (D) to \u22121.18 \u00b1 1.04 D after surgery. The mean corrected visual acuity improved from 0.92 \u00b1 0.57 logMAR before surgery to 0.17 \u00b1 0.15 logMAR at the last follow-up (P = 0.001). The mean intraocular pressure (IOP) decreased from 21.2 \u00b1 3.9 mmHg on 1.9 \u00b1 0.7 anti-glaucoma medications at baseline to 15.0 \u00b1 1.5 mmHg (P = 0.006) on 0.8 \u00b1 0.7 medications (P = 0.006) at the last follow-up.\nConclusion: Lensectomy and iris-claw lens implantation in our cases not only decreased the IOP and reduced the number of glaucoma medications, but also improved the best-corrected visual acuity. Removal of the abnormally shaped lens likely contributed to these changes.<\/jats:p>","DOI":"10.18502\/jovr.v21.17682","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T12:07:45Z","timestamp":1768392465000},"page":"1-8","update-policy":"https:\/\/doi.org\/10.18502\/knecrossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Management of Spherophakia- or Microspherophakia-associated Mild to Moderate Glaucoma with Lensectomy, Anterior Vitrectomy, and Iris-Claw Intraocular Lens Implantation"],"prefix":"10.18502","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1133-7672","authenticated-orcid":false,"given":"Aidin","family":"Meshksar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2503-1922","authenticated-orcid":false,"given":"Masoumeh","family":"Masoumpour","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7412-1900","authenticated-orcid":false,"given":"Mohammad Hossein","family":"Nowroozzadeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7961-8425","authenticated-orcid":false,"given":"Reza","family":"Razeghinejad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7770","published-online":{"date-parts":[[2026,1,14]]},"reference":[{"key":"319572","doi-asserted-by":"crossref","unstructured":"1. 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