{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:38:32Z","timestamp":1790699912118,"version":"4.1.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>Four patients with traumatic mydriasis and aphakia following blunt injury of the eye globe were evaluated. Patients with severe glare and photophobia due to wide pupil diameter from 6.0 to 9.0 mm were managed by combined iris cerclage pupilloplasty and retropupillar iris-claw lens implantation. The postoperative anatomic results, visual acuity, subjective degree of glare, photophobia, as well as intraoperative and postoperative complications were evaluated. The mean follow-up time was 32.6 months. Best-corrected visual acuity improved in all patients from preoperative 20\/60, 20\/30, 20\/25, 20\/22 to postoperative 20\/20, 20\/22, 20\/20, and 20\/20 (Snellen charts). All eyes achieved satisfactory anatomic result with round pupil diameter 3.5\u20134.5 mm. Glare and photophobia disappeared in all patients. There were no intraoperative or postoperative complications. During the follow-up period, pupils remained round and iris-claw lenses well positioned, without tilting. Combined iris cerclage pupilloplasty with retropupillar iris claw lens implantation appears to be a safe and effective surgical technique in reducing pupil size and improving visual outcomes. It is also a cost- and time-effective procedure, providing great results with a single surgery.<\/jats:p>","DOI":"10.4103\/ijo.ijo_1913_20","type":"journal-article","created":{"date-parts":[[2021,5,2]],"date-time":"2021-05-02T11:32:28Z","timestamp":1619955148000},"page":"1314-1317","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["Iris cerclage pupilloplasty and IOL implantation for traumatic mydriasis and aphakia after the blunt trauma of the eye"],"prefix":"10.4103","volume":"69","author":[{"given":"Xhevat","family":"Lumi","sequence":"first","affiliation":[{"name":"Eye Hospital, University Medical Centre Ljubljana, Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anila","family":"Lumi","sequence":"additional","affiliation":[{"name":"Eye Hospital, University Medical Centre Ljubljana, Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanja Petrovic","family":"Pajic","sequence":"additional","affiliation":[{"name":"Eye Hospital, University Medical Centre Ljubljana, Ljubljana, Slovenia"},{"name":"Clinic for Eye Diseases, Clinical Centre of Serbia, Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,4,30]]},"reference":[{"key":"B1-20240828","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.3928\/1542-8877-19981201-12","article-title":"The iris cerclage suture for permanent mydriasis:A running suture technique","volume":"29","author":"Ogawa","year":"1998","journal-title":"Ophthalmic Surg Lasers"},{"key":"B2-20240828","first-page":"71","article-title":"The closed chamber slipping suture technique for iris repair","volume":"26","author":"Siepser","year":"1994","journal-title":"Ann Ophthalmol"},{"key":"B3-20240828","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1016\/j.jcrs.2011.02.001","article-title":"Nonappositional repair of iridodialysis","volume":"37","author":"Snyder","year":"2011","journal-title":"J Cataract Refract Surg"},{"key":"B4-20240828","doi-asserted-by":"crossref","first-page":"506","DOI":"10.5301\/ejo.5000922","article-title":"Single-pass four-throw technique for pupilloplasty","volume":"27","author":"Narang","year":"2016","journal-title":"Eur J Ophthalmol"},{"key":"B5-20240828","doi-asserted-by":"crossref","first-page":"1170","DOI":"10.1016\/j.jcrs.2003.10.025","article-title":"Siepser slipknot for McCannel iris-suture fixation of subluxated intraocular lenses","volume":"30","author":"Chang","year":"2004","journal-title":"J Cataract Refract Surg"},{"key":"B6-20240828","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":"B7-20240828","first-page":"73","article-title":"Secondary intraocular lens implantation:Methods and complications","volume":"23","author":"Bellamy","year":"2000","journal-title":"J Fr Ophtalmol"},{"key":"B8-20240828","doi-asserted-by":"crossref","first-page":"1801","DOI":"10.1016\/j.jcrs.2010.07.008","article-title":"Another view of iris-claw IOL implantation","volume":"36","author":"Budo","year":"2010","journal-title":"J. Cataract Refract Surg"},{"key":"B9-20240828","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1016\/j.jaapos.2007.06.015","article-title":"Traumatic pediatric cataract:A decade of follow-up after Artisan aphakia intraocular lens implantation","volume":"11","author":"Sminia","year":"2007","journal-title":"J AAPOS"},{"key":"B10-20240828","doi-asserted-by":"crossref","first-page":"216","DOI":"10.4103\/0301-4738.181734","article-title":"Iris reconstruction combined with iris-claw intraocular lens implantation for the management of iris-lens injured patients","volume":"64","author":"Shufang","year":"2016","journal-title":"Indian J Ophthalmol"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_1913_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:12:32Z","timestamp":1787843552000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_1913_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,30]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_1913_20","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,30]]},"assertion":[{"value":"2020-06-17","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-27","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}