{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:37:50Z","timestamp":1790699870708,"version":"4.1.0"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the safety and efficacy of sutureless intrascleral intraocular lens (IOL) fixation combined with modified iris cerclage pupilloplasty for treating aphakia and traumatic mydriasis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Five patients with aphakia and traumatic mydriasis were operated on by the same surgeon. All patients underwent sutureless intrascleral IOL fixation combined with modified iris cerclage pupilloplasty and were followed up for \u22656 months. Best-corrected visual acuity (BCVA) was measured using the logarithm of the minimum angle of resolution (logMAR). BCVA, intraocular pressure (IOP), pupil diameter, and corneal endothelial cell count (CECC) preoperatively and postoperatively were statistically analyzed. The pupil shape, photophobia, IOL position, and surgical complications were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean BCVA was significantly improved 6 months postoperatively (0.26 \u00b1 0.17 logMAR,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.042) than preoperatively (0.50 \u00b1 0.30 logMAR). No significant difference was observed between the preoperative and postoperative IOP (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.138). The mean pupil diameter significantly reduced postoperatively than preoperatively (3.44 \u00b1 0.35 mm vs. 7.28 \u00b1 0.35 mm,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.043). There was no significant decrease in CECC postoperatively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.225). The pupil shape was round-like, and photophobia disappeared in all patients. No intraoperative or postoperative complications occurred.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Sutureless intrascleral IOL fixation combined with modified iris cerclage pupilloplasty is a safe and efficient procedure for treating aphakia traumatic mydriasis patients without sufficient capsular support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1090_23","type":"journal-article","created":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T14:02:05Z","timestamp":1706191325000},"page":"S224-S228","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Sutureless intrascleral intraocular lens fixation and modified iris cerclage pupilloplasty for aphakia and traumatic mydriasis"],"prefix":"10.4103","volume":"72","author":[{"given":"Xinyu","family":"Guo","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, The Affiliated Changzhou No. 2 People\u2019s Hospital of Nanjing Medical University, Changzhou, China"},{"name":"Department of Ophthalmology, Dalian Medical University, Dalian, Liaoning Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianhui","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, The Affiliated Changzhou No. 2 People\u2019s Hospital of Nanjing Medical University, Changzhou, China"},{"name":"Department of Ophthalmology, Dalian Medical University, Dalian, Liaoning Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianhuai","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, The Affiliated Changzhou No. 2 People\u2019s Hospital of Nanjing Medical University, Changzhou, China"},{"name":"Department of Ophthalmology, Dalian Medical University, Dalian, Liaoning Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xincheng","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, The Affiliated Changzhou No. 2 People\u2019s Hospital of Nanjing Medical University, Changzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,1,25]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"216","DOI":"10.4103\/0301-4738.181734","article-title":"Iris reconstruction combined with iris-claw intraocular lens implantation for the management of iris-lens injured patients","volume":"64","author":"Hu","year":"2016","journal-title":"Indian J Ophthalmol"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.3928\/1542-8877-19981201-12","article-title":"The iris cerclage suture for permanent mydriasis:A running suture technique","volume":"29","author":"Ogawa","year":"1998","journal-title":"Ophthalmic Surg Lasers"},{"key":"R3-20240828","doi-asserted-by":"crossref","first-page":"1314","DOI":"10.4103\/ijo.IJO_1913_20","article-title":"Iris cerclage pupilloplasty and IOL implantation for traumatic mydriasis and aphakia after the blunt trauma of the eye","volume":"69","author":"Lumi","year":"2021","journal-title":"Indian J Ophthalmol"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1177\/1120672119839304","article-title":"Pupil cerclage technique for treatment of traumatic mydriasis","volume":"30","author":"Frisina","year":"2020","journal-title":"Eur J Ophthalmol"},{"key":"R5-20240828","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1038\/eye.2015.3","article-title":"Royal College of Ophthalmologists'National Ophthalmology Database. 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