{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T10:55:36Z","timestamp":1793271336358,"version":"4.5.0"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T00:00:00Z","timestamp":1740528000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Scleral-fixated intraocular lens (SFIOL) is the mainstay of restoration of vision where natural lens or its support is absent for placing an IOL in the bag. The aim of the study was to clinically evaluate the novel four-flange SFIOL technique using 532 nm laser for flange making in a tertiary eye care center in central India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We reviewed total 33 patients who have undergone four-flanged SFIOL between January 2023 to October 2023. The clinical parameters like best corrected visual acuity (BCVA), intraocular pressure (IOP), spherical equivalent (SE), and postoperative complication like cystoid macular edema (CME) were evaluated. All the surgeries were performed by a senior vitreo-retinal (VR) surgeon in a tertiary eye care center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean preoperative BCVA was improved from 0.7 log MAR unit to 0.21 log MAR unit postoperatively. The mean preoperative IOP and SE improved from 19.48 mmHg to 17.12 mm Hg and 8.98D to 0.63D on postoperative follow-up, respectively. Early complications, within 1 month of surgery, noted in 15 patients (45%) and includes corneal edema \u2013 six cases (18.18%), CME \u2013 three cases (9.09%), intraocular lens tilting \u2013 two cases (6.06%), flange exposure \u2013 two cases (6.06%), and one case (3.03%) each of vitreous hemorrhage and glaucoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Four-flange SFIOL using green laser for flange formation is a safe and effective modification of sutured SFIOL with good outcome in long term.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1119_24","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T03:04:34Z","timestamp":1740539074000},"page":"408-413","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Clinical evaluation of a novel technique of flange formation using green laser in 4-flange scleral fixated intra-ocular lens implantation"],"prefix":"10.4103","volume":"73","author":[{"given":"Teena","family":"Agrawal","sequence":"first","affiliation":[{"name":"Vitreo-Retina Unit, School of Excellence For Eye, MGM Medical College, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahesh","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Cataract and Refractive Surgery, Shree Ganesh Netralaya, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sakshi","family":"Tiwari","sequence":"additional","affiliation":[{"name":"Vitreo-Retina Unit, School of Excellence For Eye, MGM Medical College, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Durgesh","family":"Shukla","sequence":"additional","affiliation":[{"name":"Sunderlal Patwa Medical College, Mandsaur, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,2,26]]},"reference":[{"key":"R1-20260422","doi-asserted-by":"crossref","first-page":"1851","DOI":"10.1016\/j.jcrs.2007.07.013","article-title":"Sutureless intrascleral posterior chamber intraocular lens fixation","volume":"33","author":"Gabor","year":"2007","journal-title":"J Cataract Refract Surg"},{"key":"R2-20260422","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1097\/ICU.0b013e32835a939f","article-title":"Glued intraocular lens: A major review on surgical technique and results","volume":"24","author":"Kumar","year":"2013","journal-title":"Curr Opin Ophthalmol"},{"key":"R3-20260422","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1016\/j.ophtha.2017.03.036","article-title":"Flanged intrascleral intraocular lens fixation with double-needle technique","volume":"124","author":"Yamane","year":"2017","journal-title":"Ophthalmology"},{"key":"R4-20260422","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":"R5-20260422","doi-asserted-by":"crossref","first-page":"465","DOI":"10.4103\/ijo.IJO_3618_20","article-title":"Creating the flange in Yamane\u2019s technique","volume":"69","author":"Agrawal","year":"2021","journal-title":"Indian J Ophthalmol"},{"key":"R6-20260422","doi-asserted-by":"crossref","first-page":"1320","DOI":"10.1016\/j.jcrs.2004.12.060","article-title":"Late dislocation of scleral-sutured posterior chamber intraocular lenses","volume":"31","author":"Price","year":"2005","journal-title":"J Cataract Refract Surg"},{"key":"R7-20260422","first-page":"294","article-title":"Hanging by a thread: The long-term efficacy and safety of transscleral sutured intraocular lenses in children (an American Ophthalmological Society thesis)","volume":"105","author":"Buckley","year":"2007","journal-title":"Trans Am Ophthalmol Soc"},{"key":"R8-20260422","doi-asserted-by":"crossref","first-page":"54","DOI":"10.3341\/kjo.2021.0121","article-title":"Scleral fixation of a hydrophobic acrylic intraocular lens with eyelets using 8-0 polypropylene suture","volume":"36","author":"Kim","year":"2022","journal-title":"Korean J Ophthalmol"},{"key":"R9-20260422","doi-asserted-by":"crossref","first-page":"100933","DOI":"10.1016\/j.ajoc.2020.100933","article-title":"Application of a four-flanged intrascleral fixation technique for toric and multifocal intraocular lenses","volume":"20","author":"Whang","year":"2020","journal-title":"Am J Ophthalmol Case Rep"},{"key":"R10-20260422","first-page":"892","article-title":"Cauterization technique for suture erosion in transscleral fixation of intraocular lenses","volume":"6","author":"Hu","year":"2013","journal-title":"Int J Ophthalmol"},{"key":"R11-20260422","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1097\/APO.0000000000000549","article-title":"Laser photo-cauterization for the management of exposed polypropylene scleral fixation sutures","volume":"12","author":"Agrawal","year":"2023","journal-title":"Asia Pac J Ophthalmol (Phila)"},{"key":"R12-20260422","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.ophtha.2013.08.043","article-title":"Sutureless 27-gauge needle-guided intrascleral intraocular lens implantation with lamellar scleral dissection","volume":"121","author":"Yamane","year":"2014","journal-title":"Ophthalmology"},{"key":"R13-20260422","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1186\/s12886-019-1172-4","article-title":"Long-term outcome of scleral-fixated intraocular lens implantation without conjunctival peritomies and sclerotomy in ocular trauma patients","volume":"19","author":"Zhao","year":"2019","journal-title":"BMC Ophthalmol"},{"key":"R14-20260422","first-page":"25158414211009095","article-title":"Complications and visual outcome of sutureless, scleral fixated intraocular lens in cases with traumatic aphakia","volume":"13","author":"Deb","year":"2021","journal-title":"Ther Adv Ophthalmol"},{"key":"R15-20260422","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1016\/j.jcrs.2013.01.039","article-title":"In vivo analysis of glued intraocular lens position with ultrasound biomicroscopy","volume":"39","author":"Kumar","year":"2013","journal-title":"J Cataract Refract Surg"},{"key":"R16-20260422","doi-asserted-by":"crossref","first-page":"64","DOI":"10.4103\/ijo.IJO_447_18","article-title":"Novel technique of sutureless glueless scleral fixated intraocular lens (SFIOL)","volume":"67","author":"Walia","year":"2019","journal-title":"Indian J Ophthalmol"},{"key":"R17-20260422","doi-asserted-by":"crossref","first-page":"1838","DOI":"10.4103\/ijo.IJO_300_19","article-title":"Comparison of flanged intrascleral intraocular lens fixation versus iris claw intraocular lens fixation: A retrospective study","volume":"67","author":"Kelkar","year":"2019","journal-title":"Indian J Ophthalmol"},{"key":"R18-20260422","doi-asserted-by":"crossref","first-page":"596","DOI":"10.4103\/0301-4738.129787","article-title":"Scleral-fixated intraocular lens implantation in microspherophakia","volume":"62","author":"Subbiah","year":"2014","journal-title":"Indian J Ophthalmol"}],"container-title":["Indian Journal of 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History"}},{"value":"2024-10-21","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}