{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:39:49Z","timestamp":1786653589979,"version":"build-2736575974"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/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":[[2026,5]]},"abstract":"<jats:p>To describe a sutureless technique for iris fixation of a 3-piece intraocular lens (3P-IOL) in the anterior chamber in eyes without capsular support, and to evaluate its outcomes. Twelve patients (10 aphakic, 2 with 3P-IOL subluxation post-Yamane technique) underwent detailed ophthalmologic evaluation. In required cases, anterior vitrectomy and 0.01% carbachol (Miostat, Alcon Laboratories, Fort Worth, TX, USA) were used to achieve miosis. Two mid-peripheral iridectomies were created with a vitrectomy probe. After viscoelastic injection, a 3P-IOL (SENSAR, Johnson and Johnson Vision, USA) was inserted into the anterior chamber using a cartridge. Haptics were positioned behind the iris through the iridectomy sites using microforceps. In subluxated intraocular lens (IOL) cases, the lens was repositioned similarly. Best corrected visual acuity (BCVA), intraocular pressure (IOP), central macular thickness (CMT), and corneal endothelial density (CED) were recorded preoperatively, at 1 month, and at the final visit. The cohort included eight males and four females (mean age: 71.08 \u00b1 4.07 years). Postoperative BCVA improved significantly (P &lt; 0.001). No significant differences were found in IOP, CMT, or CED (P &gt; 0.05). One case of transient IOP elevation was managed medically. Over a mean follow-up of 20.9 \u00b1 4.8 months, no complications such as pigment dispersion, uveitis, hemorrhage, IOL decentration, macular edema, or corneal decompensation occurred. Iris fixation of a 3-piece IOL without sutures is a fast and effective technique that has demonstrated favorable short-term safety in patients without capsular support, provided that adequate anterior chamber depth and endothelial health are present.<\/jats:p>","DOI":"10.4103\/ijo.ijo_1912_25","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T16:00:25Z","timestamp":1777564825000},"page":"S148-S151","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Modified 3-piece intraocular lens of iris fixation technique in the management of cases without capsular support: Sutureless iris fixation (Da\u011f technique)"],"prefix":"10.4103","volume":"74","author":[{"given":"Umut","family":"Da\u011f","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Gazi Yasargil Training and Research Hospital, Diyarbak\u0131r, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehtap","family":"\u00c7a\u011flayan","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Gazi Yasargil Training and Research Hospital, Diyarbak\u0131r, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan","family":"\u00d6nc\u00fcl","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Gazi Yasargil Training and Research Hospital, Diyarbak\u0131r, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet F","family":"Alaku\u015f","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Gazi Yasargil Training and Research Hospital, Diyarbak\u0131r, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bet\u00fcl Dertsiz","family":"Kozan","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Gazi Yasargil Training and Research Hospital, Diyarbak\u0131r, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"R1-20260430","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1038\/sj.eye.6703015","article-title":"The cataract national dataset electronic multi-centre audit of 55,567 operations: Updating benchmark standards of care in the United Kingdom and inter nationally","volume":"23","author":"Jaycock","year":"2009","journal-title":"Eye"},{"key":"R2-20260430","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.jcrs.2006.07.037","article-title":"Injection of an intraocular lens in an eye without capsular support","volume":"33","author":"Benevento","year":"2007","journal-title":"J Cataract Refract Surg"},{"key":"R3-20260430","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1097\/00055735-200102000-00009","article-title":"Lens implant selection with absence of capsular support","volume":"12","author":"Dick","year":"2001","journal-title":"Curr Opin Ophthalmol"},{"key":"R4-20260430","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":"R5-20260430","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1016\/j.ophtha.2007.04.018","article-title":"Small-incision iris fixation of foldable intraocular lenses in the absence of capsule support","volume":"114","author":"Condon","year":"2007","journal-title":"Ophthalmology"},{"key":"R6-20260430","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":"R7-20260430","doi-asserted-by":"crossref","first-page":"2032","DOI":"10.1016\/j.jcrs.2010.10.003","article-title":"Ab externo iris fixation of posterior chamber intraocular lens through small incision","volume":"36","author":"Zandian","year":"2010","journal-title":"J Cataract Refract Surg"},{"key":"R8-20260430","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1186\/1756-0500-5-560","article-title":"Intraocular lens iris fixation. 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