{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:03:01Z","timestamp":1792083781738,"version":"4.4.0"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,9]]},"abstract":"\n Purpose:<\/jats:title>\n To analyze the surgical outcomes and complications of sutureless needle-guided intrascleral intraocular lens (IOL) implantation (Yamane technique) combined with pars plana vitrectomy.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Retrospective study of 47 eyes of 46 patients that underwent scleral fixation of IOL by the Yamane technique combined with 3-port pars plana vitrectomy. Demographic data, primary indications for surgery, history of trauma, best corrected visual acuity (BCVA), intraocular pressure (IOP), duration of follow-up, and complications were analyzed.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Mean preoperative BCVA was 0.79 logMAR, which improved to 0.39 logMAR at mean 4.21 months (SD: 4.87 D) follow-up. Mean spherical equivalent pre and postoperative was + 7.64 D (SD: 7.74 D) and \u2212 0.47 D (SD: 2.26 D), respectively. Early postoperative complications included hypotony with cyclodialysis cleft (\n n<\/jats:italic>\n = 1; 2%), mild vitreous hemorrhage (\n n<\/jats:italic>\n = 2; 4%), raised IOP (\n n<\/jats:italic>\n = 2; 4%), and transient corneal edema (\n n<\/jats:italic>\n = 2; 4%). Late complications included iris optic capture (\n n<\/jats:italic>\n = 1; 2%), retinal detachment (\n n<\/jats:italic>\n = 1; 2%), cystoid macular edema (CME;\n n<\/jats:italic>\n = 2; 4%), IOL decentration (\n n<\/jats:italic>\n = 1; 2%), and decentration and tilting of IOL (\n n<\/jats:italic>\n = 1; 2%). Management of complications included laser treatment to cyclodialysis cleft, observation for vitreous hemorrhage, topical and oral IOP lowering agents for raised IOP. CME was managed with topical non-steroidal anti-inflammatory drugs. One eye was subjected IOL refixation. The mean number of surgeries per eye was 1.04.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Combining needle-guided intrascleral IOL implantation with vitrectomy allows management of other posterior segment complications in the same sitting while obviating the need for the second surgery. It provides satisfactory outcomes that are comparable to published studies. However, a longer follow-up will allow a better understanding of the potential advantages of this approach.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1636_20","type":"journal-article","created":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T23:07:16Z","timestamp":1630537636000},"page":"2317-2320","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":23,"title":["Surgical outcomes and complications of sutureless needle-guided intrascleral intraocular lens fixation combined with vitrectomy"],"prefix":"10.4103","volume":"69","author":[{"given":"Komal","family":"Shelke","sequence":"first","affiliation":[{"name":"Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ekta","family":"Rishi","sequence":"additional","affiliation":[{"name":"Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pukhraj","family":"Rishi","sequence":"additional","affiliation":[{"name":"Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,8,25]]},"reference":[{"key":"B1-20240828","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":"B2-20240828","doi-asserted-by":"crossref","first-page":"1450","DOI":"10.4103\/ijo.IJO_659_17","article-title":"Sutureless 27-gauge needle-assisted transconjunctival intrascleral intraocular lens fixation:Initial experience","volume":"65","author":"Kelkar","year":"2017","journal-title":"Indian J Ophthalmol"},{"key":"B3-20240828","first-page":"247-51","article-title":"Combined pars plana lensectomy-vitrectomy with open-loop flexible anterior chamber intraocular lens (AC IOL) implantation for subluxated lenses","volume":"98","author":"Kazemi","year":"2000","journal-title":"Trans Am Ophthalmol Soc"},{"key":"B4-20240828","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1001\/jamaophthalmol.2015.1097","article-title":"Outcomes associated with concurrent iris-sutured intraocular lens placement and subluxated crystalline lens extraction","volume":"133","author":"McClellan","year":"2015","journal-title":"JAMA Ophthalmol"},{"key":"B5-20240828","doi-asserted-by":"crossref","first-page":"74","DOI":"10.4103\/0301-4738.107198","article-title":"Iris claw intraocular lens:A viable option in monocular surgical aphakia","volume":"61","author":"Rao","year":"2013","journal-title":"Indian J 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Refract Surg"},{"key":"B9-20240828","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.1016\/j.jcrs.2008.04.040","article-title":"Fibrin glue\u2013assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules","volume":"34","author":"Agarwal","year":"2008","journal-title":"J Cataract Refract Surg"},{"key":"B10-20240828","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":"B11-20240828","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1016\/j.jcrs.2009.09.024","article-title":"Intermediate results of sutureless intrascleral posterior chamber intraocular lens fixation","volume":"36","author":"Scharioth","year":"2010","journal-title":"J Cataract Refract Surg"},{"key":"B12-20240828","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.sjopt.2011.04.001","article-title":"Glued intraocular lens implantation for eyes with defective capsules:A retrospective analysis of anatomical and functional outcome","volume":"25","author":"Kumar","year":"2011","journal-title":"Saudi J Ophthalmol"},{"key":"B13-20240828","doi-asserted-by":"crossref","first-page":"1977","DOI":"10.1097\/IAE.0000000000000168","article-title":"Surgical outcomes according to vitreous management after scleral fixation of posterior chamber intraocular lenses","volume":"34","author":"Cho","year":"2014","journal-title":"Retina"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_1636_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:33:21Z","timestamp":1786736001000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_1636_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,25]]},"references-count":13,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_1636_20","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,25]]},"assertion":[{"value":"2020-06-10","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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