{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:30:29Z","timestamp":1787772629066,"version":"build-2784847793"},"reference-count":14,"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":[[2023,3]]},"abstract":"<jats:p>\n                    The objective of the study was to evaluate the curative effect of a modified technique of scleral suture fixation with a four-loop foldable intraocular lens (IOL) for eye with inadequate capsule support. This was a retrospective study of 22 eyes with inadequate capsule support of 20 patients who underwent the scleral suture fixation technique with 9-0 polypropylene suture and foldable four-loop IOL implant. Preoperative and follow-up data were collected for all patients. The mean follow-up was 5.08 \u00b1 0.48 months (range: 3\u201312 months). The mean pre- and postoperative log of minimum angle of resolution (logMAR) uncorrected distance visual acuity was 1.11 \u00b1 0.32 versus 0.09 \u00b1 0.09 (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001). The mean pre- and postoperative logMAR best corrected visual acuity was 0.37 \u00b1 0.19 versus 0.08 \u00b1 0.07 (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001). The intraocular pressure (IOP) increased briefly (range: 21\u201330 mmHg) in eight eyes on the first day postoperatively and returned to normal within 1 week. No IOP drops were used postoperatively. The IOP was 12\u201319.3 (13.72 \u00b1 1.28) in this follow-up, which had no significant difference compared to the preoperative IOP (\n                    <jats:italic toggle=\"yes\">t<\/jats:italic>\n                    = 0.34,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.74). At this follow-up, there was no hyperemia, local hyperplasia, obvious scar, suture knots, or segment ends observed under the conjunctiva, as well as no pupil deformation or vitreous hemorrhage. The mean postoperative IOL decentration degree was 0.22 \u00b1 0.08 mm. At the 7-day follow-up postoperatively, one side of the IOL was dislocated to the vitreous cavity in one case, which was resolved by reimplantation of a new IOL in time with the same technique. Scleral suture fixation technique of a four-loop foldable IOL was a feasible operation method for an eye with inadequate capsular support.\n                  <\/jats:p>","DOI":"10.4103\/ijo.ijo_1647_22","type":"journal-article","created":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T06:19:36Z","timestamp":1678256376000},"page":"1005-1010","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Observation of the curative effect of scleral suture fixation technique with four-loop foldable intraocular lens"],"prefix":"10.4103","volume":"71","author":[{"given":"Caijuan","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Hebei Eye Hospital, Xingtai, Hebei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhimin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Hebei Eye Hospital, Xingtai, Hebei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baoyue","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Hebei Eye Hospital, Xingtai, Hebei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,3,3]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1186\/s12886-016-0228-y","article-title":"Visual outcomes of posterior chamber intraocular lens intrascleral fixation in the setting of postoperative and posttraumatic aphakia","volume":"16","author":"Haszcz","year":"2016","journal-title":"BMC Ophthalmol"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/S0146-2776(83)80090-1","article-title":"Scleral fixation for intraocular lenses","volume":"9","author":"Gess","year":"1983","journal-title":"J Am Intraocul Implant Soc"},{"key":"R3-20240828","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1007\/s10792-014-9964-2","article-title":"Incidence of cystoid macular edema with iris-fixated posterior chamber intraocular lenses in patients presenting with lens dislocation","volume":"34","author":"Rusu","year":"2014","journal-title":"Int Ophthalmol"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1186\/s12886-015-0118-8","article-title":"Modified technique for transscleral fixation of posterior chamber intraocular lenses","volume":"15","author":"Long","year":"2015","journal-title":"BMC Ophthalmol"},{"key":"R5-20240828","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1016\/S0002-9394(03)00229-0","article-title":"Subluxation of transscleral sutured posterior chamber intraocular lens (TSIOL)","volume":"136","author":"Kim","year":"2003","journal-title":"Am J Ophthalmol"},{"key":"R6-20240828","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":"R7-20240828","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1016\/j.jaapos.2008.04.016","article-title":"Safety of transscleral-sutured intraocular lenses in children","volume":"12","author":"Buckley","year":"2008","journal-title":"J AAPOS"},{"key":"R8-20240828","doi-asserted-by":"crossref","first-page":"1568","DOI":"10.1016\/j.jcrs.2014.07.010","article-title":"Simple method to restore a fractured 10-0 polypropylene suture using a single fisherman's knot","volume":"40","author":"Kang","year":"2014","journal-title":"J Cataract Refract Surg"},{"key":"R9-20240828","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.advms.2018.08.005","article-title":"The implantation of the scleral-fixated posterior chamber intraocular lens with 9\/0 polypropylene sutures-Long-term visual outcomes and complications","volume":"64","author":"Wasiluk","year":"2019","journal-title":"Adv Med Sci"},{"key":"R10-20240828","doi-asserted-by":"crossref","first-page":"6697230","DOI":"10.1155\/2021\/6697230","article-title":"Modified technique for scleral-sutured fixation with the double knots technique for posterior chamber intraocular lens:Short-term observation","volume":"2021","author":"Wu","year":"2021","journal-title":"J Ophthalmol"},{"key":"R11-20240828","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1097\/ICU.0000000000000661","article-title":"Scleral fixated secondary intraocular lenses:A review of recent literature","volume":"31","author":"Patel","year":"2020","journal-title":"Curr Opin Ophthalmol"},{"key":"R12-20240828","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1186\/s12886-019-1113-2","article-title":"Clinical observation of a novel technique:Transscleral suture fixation of a foldable 3-looped haptics one-piece posterior chamber intraocular lens implantation through scleral pockets with intact conjunctiva","volume":"19","author":"Ni","year":"2019","journal-title":"BMC Ophthalmol"},{"key":"R13-20240828","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.1016\/j.jcrs.2018.08.008","article-title":"New use of 8-0 polypropylene suture for four-point scleral fixation of secondary intraocular lenses","volume":"44","author":"John","year":"2018","journal-title":"J Cataract Refract Surg"},{"key":"R14-20240828","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1016\/j.ophtha.2006.10.037","article-title":"Subluxation of suture-fixated posterior chamber intraocular lenses a clinicopathologic study","volume":"114","author":"Parekh","year":"2007","journal-title":"Ophthalmology"}],"container-title":["Indian Journal of 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