{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:23:11Z","timestamp":1787840591603,"version":"build-2784847793"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","license":[{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the outcomes of 27-gauge (27G) microincision vitrectomy surgery (MIVS)-assisted scleral fixation of intraocular lenses (SFIOLs) using anterior segment optical coherence tomography (AS-OCT). The study assesses postoperative intraocular lens (IOL) tilt, decentration, and iris to IOL distance and their impact on visual and refractive outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective study included 36 patients undergoing 27G MIVS-assisted SFIOL implantation. Preoperative data, including best-corrected visual acuity (BCVA), intraocular pressure (IOP), endothelial cell count, and surgical indications, were recorded. Postoperatively, BCVA, IOP, and endothelial cell count were assessed at 3 months. Additionally, postoperative AS-OCT was performed to assess IOL tilt, decentration, and distance of the IOL from the posterior iris surface. Surgical complications were documented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean IOL tilt was 3.58 \u00b1 0.57 degrees, IOL decentration was 0.22 \u00b1 0.47 mm, and IOL to posterior iris distance was 0.76 \u00b1 0.66 mm. At three months, BCVA significantly improved from 0.85 \u00b1 0.53 log MAR to 0.38 \u00b1 0.38 log MAR (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.03). Hyperopic shift (manifest refractive spherical equivalent [MRSE]: +1.14 \u00b1 0.62 D) correlated strongly with increased distance of IOL from the posterior iris surface. Complications included early postoperative IOL tilt (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 4, requiring refixation), vitreous hemorrhage (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 3, resolving spontaneously), and choroidal detachment (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2, resolving with corticosteroids).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The 27G MIVS-assisted SFIOL technique demonstrates favorable outcomes with minimal IOL tilt and decentration. The technique offers a safe and effective alternative for scleral fixation, optimizing surgical efficiency and patient outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1102_25","type":"journal-article","created":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T19:00:24Z","timestamp":1758308424000},"page":"1653-1657","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["27-gauge microincision vitrectomy surgery-assisted scleral fixation of intraocular lens: An anterior segment optical coherence tomography-guided study"],"prefix":"10.4103","volume":"73","author":[{"given":"Ashish","family":"Markan","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, AIIMS, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manasi","family":"Tripathi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, I Clinix Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivani","family":"Chhabra","sequence":"additional","affiliation":[{"name":"Department of Vitreoretina, Eye7 Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vipin","family":"Rana","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Command Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,19]]},"reference":[{"key":"R1-20260419","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/S0886-3350(87)80131-1","article-title":"Anterior chamber lenses. 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