{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:44:14Z","timestamp":1787071454501,"version":"build-2736575974"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","license":[{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/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":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>\n                      To examine the long-term outcome in terms of visual performance and positional stability of a minimally invasive\n                      <jats:italic toggle=\"yes\">in situ<\/jats:italic>\n                      fixation technique for repositioning of subluxated capsular bag-intraocular lens complex.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Tertiary eye care and postgraduate training institute.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Single-center retrospective study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      The medical records of 13 pseudophakic patients who presented with Subluxated capsular bag - intraocular lens complexes operated by a single surgeon with a minimally invasive\n                      <jats:italic toggle=\"yes\">in situ<\/jats:italic>\n                      fixation technique from January 2014 to February 2020 were retrospectively reviewed. This technique employs creation of a scleral pocket and an opposing paracentesis to pass the nonabsorbable suture to engage the subluxated capsular bag-intraocular lens complex followed by centration and tying of suture ends and burying the knot. The uncorrected and best-corrected visual acuity and centration and stability of the repositioned complex were analyzed at baseline, 3 weeks, and final visit. The refractive status and ocular residual astigmatism were also analyzed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>On comparing the best corrected visual acuity at baseline with that at final visit mean follow-up 53 months, 92.3% had successful visual outcome as defined in this study. Centration was achieved in 12 patients on follow-up visits except in one patient who had inferior iris coloboma. The measured ocular residual astigmatism ranged between J0 -0.55 and J45 -0.17. Three patients had posterior capsule opacification as the only late complication that would occur even otherwise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The minimized surgical manoeuvring and long term satisfactory visual outcomes suggest that this technique can be performed as a primary repositioning surgery for subluxated capsular bag - intraocular lens complex.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_2015_24","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T19:01:19Z","timestamp":1764010879000},"page":"1741-1747","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Long term outcome of in situ scleral fixation of subluxated capsular bag - intraocular lens complex"],"prefix":"10.4103","volume":"73","author":[{"given":"Allapitchai","family":"Fathima","sequence":"first","affiliation":[{"name":"Paediatric Ophthalmology and Strabismsus Services, Aravind Eye Hospital, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samyukta K","family":"Sadasivan","sequence":"additional","affiliation":[{"name":"Ophthalmology, Government Medical College, Thrissur, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivkumar","family":"Chandrasekharan","sequence":"additional","affiliation":[{"name":"IOL Services, Aravind Eye Hospital, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohideen Abdul","family":"Khader","sequence":"additional","affiliation":[{"name":"Glaucoma Services, Aravind Eye Hospital, Tirunelveli, Tamil Nadu, 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