{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T01:29:07Z","timestamp":1790645347867,"version":"4.1.0"},"reference-count":11,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T00:00:00Z","timestamp":1716595200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Different techniques for artificial iris implantation with or without an intraocular lens, depending on lens status, are described in the literature. We describe a surgical technique for a custom-made artificial iris and toric-intraocular lens intrascleral flange fixation. We modified the \u201cBackpack\u201d artificial iris implantation surgical technique to facilitate an accurate alignment of the toric-intraocular lens in a patient with aphakia, aniridia, and high asymmetric astigmatism secondary to blunt trauma. Two months after the surgery, uncorrected visual acuity was 20\/30, corrected to 20\/25 with a refraction of \u22122.00 in the diopter sphere with no residual astigmatism. The artificial iris implant and toric-intraocular lens were well-centered. The patient was satisfied with the visual and cosmetic outcomes. This procedure, however, is not complication-free as our patient developed uveitis and increased intraocular pressure during the postoperative period, which was treated successfully.<\/jats:p>","DOI":"10.3390\/medicina60060865","type":"journal-article","created":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T10:14:07Z","timestamp":1716804847000},"page":"865","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Custom-Made Artificial Iris and Toric-Intraocular Lens Intrascleral Flange Fixation: A Case Report"],"prefix":"10.3390","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0691-9862","authenticated-orcid":false,"given":"Ran","family":"Moshkovsky","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Wolfson Medical Center, Holon 5822012, Israel"},{"name":"School of Medicine, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv 6997801, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elinor","family":"Megiddo-Barnir","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Wolfson Medical Center, Holon 5822012, Israel"},{"name":"School of Medicine, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv 6997801, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guy","family":"Kleinmann","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Wolfson Medical Center, Holon 5822012, Israel"},{"name":"School of Medicine, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv 6997801, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,5,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1038\/sj.eye.6701448","article-title":"Surgical management of iris defects with prosthetic iris devices","volume":"19","author":"Mavrikakis","year":"2005","journal-title":"Eye"},{"key":"ref_2","first-page":"176","article-title":"Soft opaque contact lenses in binocular vision problems","volume":"64","author":"Burger","year":"1993","journal-title":"J. Am. Optom. Assoc."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1097\/00003226-199805000-00017","article-title":"A new treatment for photophobia in posttraumatic aniridia: A case report","volume":"17","author":"Beekhuis","year":"1998","journal-title":"Cornea"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1016\/j.ophtha.2022.01.029","article-title":"Results of the United States food and drug administration clinical trial of the CustomFlex artificial iris","volume":"129","author":"Ayres","year":"2022","journal-title":"Ophthalmology"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1016\/j.jcrs.2017.06.003","article-title":"Artificial iris implantation in various iris defects and lens conditions","volume":"43","author":"Mayer","year":"2017","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1055\/s-0032-1328386","article-title":"Complications after prosthetic iris implantation in a case of traumatic aniridia","volume":"230","author":"Gerding","year":"2013","journal-title":"Klin. Monatsbl\u00e4tter Augenheilkd."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1034","DOI":"10.1016\/S0886-3350(02)01646-2","article-title":"Retinal detachment and phthisis bulbi after implantation of an iris prosthetic system","volume":"29","author":"Taneri","year":"2003","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1111\/1756-185X.14485","article-title":"Management of extra-articular manifestations in spondyloarthritis","volume":"26","author":"Ma","year":"2023","journal-title":"Int. J. Rheum. Dis."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"101502","DOI":"10.1016\/j.ajoc.2022.101502","article-title":"Novel surgical technique of sutureless artificial iris and intraocular lens scleral fixation using Yamane technique","volume":"26","author":"Muth","year":"2022","journal-title":"Am. J. Ophthalmol. Case Rep."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1097\/ICO.0000000000002185","article-title":"Four-flanged intrascleral intraocular lens fixation technique: No flaps, no knots, no glue","volume":"39","author":"Canabrava","year":"2020","journal-title":"Cornea"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.1097\/j.jcrs.0000000000000738","article-title":"Flange erosion\/exposure and the risk for endophthalmitis","volume":"47","author":"Werner","year":"2021","journal-title":"J. Cataract. Refract. Surg."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/6\/865\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:48:53Z","timestamp":1760107733000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/6\/865"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,25]]},"references-count":11,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,6]]}},"alternative-id":["medicina60060865"],"URL":"https:\/\/doi.org\/10.3390\/medicina60060865","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,25]]}}}