{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:28:47Z","timestamp":1786649327680,"version":"build-2736575974"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate outcomes of anterior chamber intraocular lens (ACIOL) implantation with vitrectomy in eyes with surgical or traumatic aphakia, and subluxated or dislocated lens.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this retrospective study, we evaluated patients who underwent pars plans vitrectomy with ACIOL implantation from April 2016 to March 2019. Patients with minimum follow-up period of 1 year and operated by single surgeon were included. Ophthalmic history, indication for surgery, BCVA, IOP, slit-lamp examination, and fundus assessment findings were noted. Postoperatively best-corrected visual acuity (BCVA), intraocular pressure (IOP) and complications if any were noted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Ninety eyes of 88 patients were included in the study. The mean age of the patients was 60.2 \u00b1 10.2 yrs. Majority (75.6%) were males and 24.4% were females. Indications for pars-plana vitrectomy (PPV) with ACIOL implantation were nucleus drop in 16.6%, IOL drop in 25.5%, large posterior capsular rupture (PCR) with vitreous disturbance or zonular dehiscence (ZD) during cataract surgery in 33.3%, more than 180\u00b0 subluxation of lens in 10% and traumatic lens or intraocular lens (IOL) drop in 14.4% cases. Preoperative and postoperative mean Log MAR visual acuity was 1.59 \u00b1 0.44 and 0.36 \u00b1 0.33 respectively, with few complications like cystoid macular edema (CME) in 8.8%, persistently raised IOP in 4.4%, persistent uveitis in 2.2%, retinal detachment (RD) in 2.2%, and tilted IOL in 1.1% cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Out of different options available for secondary IOL implantation in patients with poor capsular support ACIOL has the advantages of cost-effectiveness, small learning curve, faster surgical time with a lesser rate of complications like IOL tilt, vitreous hemorrhage, and suture erosion as compared to scleral-fixated IOL (SF-IOL). Comparable visual outcome can be obtained by proper patient selection in these cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_2192_20","type":"journal-article","created":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T10:42:08Z","timestamp":1622630528000},"page":"1404-1408","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":20,"title":["Anterior chamber intraocular lens - An effective alternative in traumatic and surgical aphakia in the era of scleral-fixated intraocular lens"],"prefix":"10.4103","volume":"69","author":[{"given":"Santosh K","family":"Mahapatra","sequence":"first","affiliation":[{"name":"Chief Medical Officer and Vitreoretinal Surgeon, Department of Vitreoretina, JPM Rotary Club of Cuttack Eye Hospital and Research Institute, Cuttack, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navya","family":"Mannem","sequence":"additional","affiliation":[{"name":"Opthalmology Resident, Department of Vitreoretina, JPM Rotary Club of Cuttack Eye Hospital and Research Institute, Cuttack, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,5,21]]},"reference":[{"key":"R1-20251004","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1001\/archopht.1987.01060010058031","article-title":"Complications of semiflexible, closed-loop anterior chamber intraocular lenses","volume":"105","author":"Smith","year":"1987","journal-title":"Arch Ophthalmol"},{"key":"R2-20251004","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/S0886-3350(13)80284-2","article-title":"Results and complications of secondary intraocular lens implantation","volume":"19","author":"Biro","year":"1993","journal-title":"J Cataract Refract Surg"},{"key":"R3-20251004","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1016\/S0886-3350(02)01614-0","article-title":"Long-term follow-up of secondary flexible, open-loop, anterior chamber intraocular lenses","volume":"29","author":"Drolsum","year":"2003","journal-title":"J Cataract Refract Surg"},{"key":"R4-20251004","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1136\/bjo.85.1.11","article-title":"Long term clinical outcome of a randomised controlled trial of anterior chamber lenses after high volume intracapsular cataract surgery","volume":"85","author":"Hennig","year":"2001","journal-title":"Br J Ophthalmol"},{"key":"R5-20251004","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1016\/j.jcrs.2004.10.061","article-title":"Anterior chamber and sutured posterior chamber intraocular lenses in eyes with poor capsular support","volume":"31","author":"Donaldson","year":"2005","journal-title":"J Cataract Refract Surg"},{"key":"R6-20251004","doi-asserted-by":"crossref","first-page":"1918","DOI":"10.1016\/S0886-3350(02)02052-7","article-title":"Long-term endothelial changes after implantation of anterior chamber intraocular lenses in cataract surgery","volume":"29","author":"Ravalico","year":"2003","journal-title":"J Cataract Refract Surg"},{"key":"R7-20251004","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/S0161-6420(91)32310-8","article-title":"An analysis of flexible anterior chamber lenses with special reference to the normalized rate of lens explantation","volume":"98","author":"Lim","year":"1991","journal-title":"Ophthalmology"},{"key":"R8-20251004","first-page":"195","article-title":"Complications of intraocular lenses with special reference to an analysis of 2500 explanted intraocular lenses (IOLs)","volume":"3","author":"Solomon","year":"1991","journal-title":"J Cataract Refract Surg"},{"key":"R9-20251004","doi-asserted-by":"crossref","first-page":"1636","DOI":"10.1016\/S0161-6420(13)31445-6","article-title":"Flexible open-loop anterior chamber intraocular lens implants","volume":"100","author":"Weene","year":"1993","journal-title":"Ophthalmology"},{"key":"R10-20251004","doi-asserted-by":"crossref","first-page":"1913","DOI":"10.1016\/S0161-6420(94)31083-9","article-title":"Are there acceptable anterior chamber intraocular lenses for clinical use in the 1990s? An analysis of 4104 explanted anterior chamber intraocular lenses","volume":"101","author":"Auffarth","year":"1994","journal-title":"Ophthalmology"},{"key":"R11-20251004","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/j.ajo.2014.10.016","article-title":"Comparison of outcomes of primary anterior chamber versus secondary scleral-fixated intraocular lens implantation in complicated cataract surgeries","volume":"159","author":"Chan","year":"2015","journal-title":"Am J Ophthalmol"},{"key":"R12-20251004","first-page":"247","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":"R13-20251004","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.ajo.2016.05.006","article-title":"Pars plana vitrectomy combined with either secondary scleral-fixated or anterior chamber intraocular lens implantation","volume":"168","author":"Melamud","year":"2016","journal-title":"Am J Ophthalmol"},{"key":"R14-20251004","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1016\/j.oret.2018.02.006","article-title":"Outcomes of anterior chamber intraocular lens implantation in patients undergoing pars plana vitrectomy","volume":"2","author":"Finn","year":"2018","journal-title":"Ophthalmol Retina"},{"key":"R15-20251004","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1038\/eye.2017.261","article-title":"Anterior chamber lens implantation in vitrectomised eyes","volume":"32","author":"Negretti","year":"2018","journal-title":"Eye (Lond)"},{"key":"R16-20251004","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1097\/IAE.0000000000002042","article-title":"Pars plana vitrectomy with anterior chamber versus gore-tex sutured posterior chamber intraocular lens placement: Long-Term Outcomes","volume":"39","author":"Khan","year":"2019","journal-title":"Retina"},{"key":"R17-20251004","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.ajo.2017.01.029","article-title":"Pars plana vitrectomy combined with either secondary scleral-fixated or anterior chamber intraocular lens implantation","volume":"176","author":"Radke","year":"2017","journal-title":"Am J Ophthalmol"},{"key":"R18-20251004","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.ophtha.2005.11.024","article-title":"Comparison of outcomes of primary scleral-fixated versus primary anterior chamber intraocular lens implantation in complicated cataract surgery","volume":"114","author":"Kwong","year":"2007","journal-title":"Ophthalmology"},{"key":"R19-20251004","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/S0886-3350(02)01526-2","article-title":"Comparison of secondary implantation of flexible open-loop anterior chamber and scleral-fixated posterior chamber intraocular lenses","volume":"29","author":"Evereklioglu","year":"2003","journal-title":"J Cataract Refract Surg"},{"key":"R20-20251004","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00417-014-2834-9","article-title":"Sutureless scleral fixation of intraocular lenses: Outcomes of two approaches. The 2014 Yasuo Tano Memorial Lecture","volume":"253","author":"Abbey","year":"2015","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"R21-20251004","doi-asserted-by":"crossref","first-page":"1289","DOI":"10.1016\/S0886-3350(97)80104-6","article-title":"Sutureless scleral fixation of intraocular lenses","volume":"23","author":"Maggi","year":"1997","journal-title":"J Cataract Refract Surg"},{"key":"R22-20251004","doi-asserted-by":"crossref","first-page":"1935","DOI":"10.1097\/IAE.0000000000001039","article-title":"One year outcomes of a novel technique for rescuing and scleral fixating a posterior dislocated intraocular lens-bag complex without conjunctival opening (HOFFMAN POCKETS)","volume":"36","author":"Budoff","year":"2016","journal-title":"Retina"},{"key":"R23-20251004","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":"R24-20251004","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1097\/00006982-200404000-00001","article-title":"Recurrent vitreous hemorrhage after sutured posterior chamber intraocular lenses","volume":"24","author":"Fu","year":"2004","journal-title":"Retina"},{"key":"R25-20251004","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1111\/j.1600-0420.2007.01095.x","article-title":"Implantation of scleral-fixated posterior chamber intraocular lenses in adults","volume":"86","author":"Kjeka","year":"2008","journal-title":"Acta Ophthalmol"},{"key":"R26-20251004","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1159\/000355414","article-title":"Akreos Adapt AO intraocular lens opacification: A case report","volume":"4","author":"Forlini","year":"2013","journal-title":"Case Rep Ophthalmol"},{"key":"R27-20251004","doi-asserted-by":"crossref","first-page":"1427","DOI":"10.1016\/j.jcrs.2010.04.011","article-title":"Calcification of hydrophilic acrylic intraocular lenses in combined phaco vitrectomy surgery","volume":"36","author":"Walker","year":"2010","journal-title":"J Cataract Refract Surg"},{"key":"R28-20251004","doi-asserted-by":"crossref","first-page":"371","DOI":"10.3341\/kjo.2010.24.6.371","article-title":"Opacification of the optic of an Akreos Adapt intraocular lens","volume":"24","author":"Lee","year":"2010","journal-title":"Korean J Ophthalmol"},{"key":"R29-20251004","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1097\/ICU.0000000000000260","article-title":"Management of dislocated intraocular lenses in eyes with insufficient capsular support","volume":"27","author":"Dajee","year":"2016","journal-title":"Curr Opin Ophthalmol"},{"key":"R30-20251004","doi-asserted-by":"crossref","first-page":"2102","DOI":"10.1016\/j.jcrs.2015.11.006","article-title":"Outcomes of anterior chamber intraocular lenses placed by surgeons in training","volume":"41","author":"Brunin","year":"2015","journal-title":"J Cataract Refract Surg"},{"key":"R31-20251004","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1016\/j.jcrs.2012.04.022","article-title":"Severe endothelial cell loss with anterior chamber phakic intraocular lenses","volume":"38","author":"Pechm\u00e9ja","year":"2012","journal-title":"J Cataract Refract Surg"},{"key":"R32-20251004","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/j.ajo.2007.05.014","article-title":"Long-term safety and functional outcome of combined pars plana vitrectomy and scleral-fixated sutured posterior chamber lens implantation","volume":"144","author":"Bading","year":"2007","journal-title":"Am J Ophthalmol"},{"key":"R33-20251004","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/j.ajo.2010.08.026","article-title":"Pars plana vitrectomy with endoscope-guided sutured posterior chamber intraocular lens implantation in children and adults","volume":"151","author":"Olsen","year":"2011","journal-title":"Am J Ophthalmol"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_2192_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:52:31Z","timestamp":1786647151000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_2192_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,21]]},"references-count":33,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_2192_20","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,21]]},"assertion":[{"value":"2020-07-08","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}