{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:21:11Z","timestamp":1787761271583,"version":"build-2784847793"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To assess the role of surgical peripheral iridectomy (PI) in preventing iris-related complications associated with glued intraocular lens (GIOL) surgery in children with bilateral ectopia lentis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Nonrandomized interventional case series of 34 eyes of 17 children (&lt;15 years of age) who underwent pars plana lensectomy (PPL) and GIOL surgery between January 2013 and December 2016. Eyes with surgical PI (January 2013\u2013June 2015) were compared with those without surgical PI (July 2015\u2013December 2016). The primary outcome measure of the role of surgical PI in GIOL surgery was to account for complications such as optic capture, secondary glaucoma, intraocular lens (IOL) dislocation, or repeat surgery. The secondary outcomes were changes in the best-corrected visual acuity (BCVA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean age at surgery was 8.8 years (range: 3.5\u201315 years). Surgical PI was conducted in 15 eyes. Among the 19 eyes without PI, 9 eyes had complications (optic capture \u20136; rise in IOP \u20134; IOL subluxation \u20134; repeat surgery \u20135). The complications were significantly less in the PI group,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.02. There was a statistically significant improvement in BCVA (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0001) in all the patients. The mean presenting BCVA was 0.99 (\u00b10.79) logMAR (Snellen \u2248 20\/200) and post BCVA was 0.40 (\u00b10.50) (Snellen \u2248 20\/50). The mean preoperative refraction was \u2212 9 D (\u00b18D) (range: \u22125 D to \u221223D) and postoperative was \u22121 (\u00b11.15) D. The mean follow-up was 25.4 months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Surgical PI along with GIOL surgery in children undergoing PPL is shown to reduce optic-capture-related complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1120_19","type":"journal-article","created":{"date-parts":[[2020,2,20]],"date-time":"2020-02-20T00:59:49Z","timestamp":1582160389000},"page":"466-470","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Peripheral iridectomy for preventing iris-related complications in glued intraocular lens surgery in children"],"prefix":"10.4103","volume":"68","author":[{"given":"Divya","family":"Balakrishnan","sequence":"first","affiliation":[{"name":"Smt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, L V Prasad Eye Institute, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avadhesh","family":"Oli","sequence":"additional","affiliation":[{"name":"Smt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, L V Prasad Eye Institute, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Remya M","family":"Paulose","sequence":"additional","affiliation":[{"name":"Smt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, L V Prasad Eye Institute, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasnat","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, L V Prasad Eye Institute, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,2,14]]},"reference":[{"key":"R1-20251013","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/0039-6257(82)90069-8","article-title":"Ectopia lentis","volume":"27","author":"Nelson","year":"1982","journal-title":"Surv Ophthalmol"},{"key":"R2-20251013","first-page":"235","article-title":"Bilateral ametropic functional amblyopia in genetic ectopia lentis: Its relation to the amount of subluxation, an indicator for early surgical management","volume":"17","author":"Romano","year":"2002","journal-title":"Binocul Vis Strabismus Q"},{"key":"R3-20251013","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1016\/j.ajo.2013.03.002","article-title":"Posterior iris-claw aphakic intraocular lens implantation in children","volume":"156","author":"Gonnermann","year":"2013","journal-title":"Am J Ophthalmol"},{"key":"R4-20251013","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.tjo.2016.04.001","article-title":"Iris-claw versus posterior chamber fixation intraocular lens implantation in pediatric traumatic cataract","volume":"6","author":"Kavitha","year":"2016","journal-title":"Taiwan J Ophthalmol"},{"key":"R5-20251013","doi-asserted-by":"crossref","first-page":"1540","DOI":"10.1016\/j.jcrs.2009.04.030","article-title":"Anterior segment optical coherence tomography findings of reverse pupillary block after scleral-fixated sutured posterior chamber intraocular lens implantation","volume":"35","author":"Higashide","year":"2009","journal-title":"J Cataract Refract Surg"},{"key":"R6-20251013","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":"R7-20251013","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1080\/08820538.2017.1346132","article-title":"A comparative study on surgical outcomes of glued intraocular lens and sutured scleral fixated intraocular lens implantation","volume":"33","author":"Balakrishnan","year":"2018","journal-title":"Semin Ophthalmol"},{"key":"R8-20251013","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.ajo.2016.10.017","article-title":"Validation of guidelines for undercorrection of intraocular lens power in children","volume":"174","author":"Sachdeva","year":"2017","journal-title":"Am J Ophthalmol"},{"key":"R9-20251013","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1136\/bjo.38.3.163","article-title":"Familial ectopia lentis and its complications","volume":"38","author":"Meyer","year":"1954","journal-title":"Br J Ophthalmol"},{"key":"R10-20251013","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1097\/ICU.0b013e32834cd5e5","article-title":"Anterior chamber intraocular lens, sutured posterior chamber intraocular lens, or glued intraocular lens: Where do we stand?","volume":"23","author":"Holt","year":"2012","journal-title":"Curr Opin Ophthalmol"},{"key":"R11-20251013","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1016\/S0161-6420(02)02000-6","article-title":"Intraocular lens implantation in the absence of capsular support: A report by the American Academy of Ophthalmology","volume":"110","author":"Wagoner","year":"2003","journal-title":"Ophthalmology"},{"key":"R12-20251013","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1016\/S0161-6420(96)30633-7","article-title":"Surgery of the hereditary subluxated lens in children","volume":"103","author":"Halpert","year":"1996","journal-title":"Ophthalmology"},{"key":"R13-20251013","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1038\/eye.2017.229","article-title":"Clinical spectrum and surgical outcomes in spherophakia: A prospective interventional study","volume":"32","author":"Khokhar","year":"2018","journal-title":"Eye (Lond)"},{"key":"R14-20251013","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/j.ophtha.2007.02.018","article-title":"Long-term results of scleral fixation of posterior chamber intraocular lenses in children","volume":"115","author":"Asadi","year":"2008","journal-title":"Ophthalmology"},{"key":"R15-20251013","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1038\/eye.2016.140","article-title":"Is an iris claw IOL a good option for correcting surgically induced aphakia in children? 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