{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:39:50Z","timestamp":1786653590019,"version":"build-2736575974"},"reference-count":12,"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>Toric intraocular lenses (IOLs) offer a surgical solution for correcting various degrees of corneal astigmatism. However, their effectiveness relies heavily on a stable capsular bag and precise rotational alignment. In cases where the capsular bag is compromised or absent, alternative fixation techniques are necessary. This surgical technique showcases various methods for securely fixing toric IOLs in diverse clinical scenarios, including single-piece IOLs and Envista IOLs with a hole at the haptic\u2013optic junction. Additionally, we highlight the technique of repositioning and recentering dislocated or decentered toric IOLs, achieving optimal alignment, minimal tilt, and significant astigmatism correction.<\/jats:p>","DOI":"10.4103\/ijo.ijo_2503_25","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T16:00:26Z","timestamp":1777564826000},"page":"S137-S141","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Scleral fixation of toric intraocular lenses \u2013 A modified ab-externo 4-point fixation technique"],"prefix":"10.4103","volume":"74","author":[{"given":"Rajshri","family":"Hirawat","sequence":"first","affiliation":[{"name":"Department of Vitreo-Retina, Kamdar Eye Hospital, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nagesha C","family":"Krishnappa","sequence":"additional","affiliation":[{"name":"Department of Vitreo-Retina, Narayana Nethralaya, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohitha","family":"Nayak","sequence":"additional","affiliation":[{"name":"Department of Cornea and Refractive Surgery, Narayana Nethralaya, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gulam Ali","family":"Kamdar","sequence":"additional","affiliation":[{"name":"Department of Cataract and Refractive Surgery, Kamdar Eye Hospital, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chaitra","family":"Jayadev","sequence":"additional","affiliation":[{"name":"Department of Vitreo-Retina, Narayana Nethralaya, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naren","family":"Shetty","sequence":"additional","affiliation":[{"name":"Department of Cornea and Refractive Surgery, Narayana Nethralaya, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"R1-20260430","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1016\/S0886-3350(13)80232-5","article-title":"Toric intraocular lenses: Correcting astigmatism while controlling axis shift","volume":"20","author":"Shimizu","year":"1994","journal-title":"J Cataract Refract Surg"},{"key":"R2-20260430","doi-asserted-by":"crossref","first-page":"1654","DOI":"10.1016\/j.jcrs.2014.01.044","article-title":"Long-term clinical outcomes of toric intraocular lens implantation in cataract cases with preexisting astigmatism","volume":"40","author":"Miyake","year":"2014","journal-title":"J Cataract Refract Surg"},{"key":"R3-20260430","doi-asserted-by":"crossref","first-page":"1445","DOI":"10.1016\/j.jcrs.2009.04.027","article-title":"Complications of sulcus placement of single-piece acrylic intraocular lenses. 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