{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:30:16Z","timestamp":1787761816525,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To assess the refractive outcomes and effect on endothelial cell density of refractive implantable lens (RIL) implantation following deep anterior lamellar keratoplasty (DALK).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective study was conducted on 10 eyes of 10 patients who had undergone DALK and subsequently underwent toric RIL implantation. The patients were followed up over a period of 1 year. The parameters compared were uncorrected and best corrected visual acuity, spherical and cylindrical acceptance, mean refractive spherical equivalent, and endothelial cell counts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There was a significant improvement (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05) from preoperatively to 1 month postoperatively in the mean log of minimum angle of resolution (logMAR) uncorrected distance visual acuity (UCVA; 1.1 \u00b1 0.1 to 0.3 \u00b1 0.1), spherical refraction (5.4 \u00b1 3.8 to 0.3 \u00b1 0.1 D), cylindrical refraction (5.4 \u00b1 3.2 to 0.8 \u00b1 0.7 D), and MRSE (7.4 \u00b1 3.5 to 0.5 \u00b1 0.4 D). Three patients achieved spectacle independence for distance vision with a residual MRSE less than 1 D in the other cases. A stable refraction was maintained up to 1 year follow-up in all cases. There was a 2.3% mean decline in endothelial cell counts at 1 year of follow-up. No intraoperative or postoperative complications were seen in any case up to 1 year of follow-up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>RIL implantation is an effective and safe procedure for the correction of high ametropia post-DALK.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_2627_22","type":"journal-article","created":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T06:19:36Z","timestamp":1678256376000},"page":"837-840","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of refractive implantable lens implantation after deep anterior lamellar keratoplasty"],"prefix":"10.4103","volume":"71","author":[{"given":"Jagadeesh","family":"Reddy","sequence":"first","affiliation":[{"name":"Director Technical, Sankara Eye Hospital, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samruddhi","family":"Dani","sequence":"additional","affiliation":[{"name":"Phacorefractive Surgery, Sankara Eye Hospital, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vandhana","family":"Sundaram","sequence":"additional","affiliation":[{"name":"Cornea and Refractive Surgery, Sankara Eye Hospital, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,3,3]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"3681","DOI":"10.2147\/OPTH.S270690","article-title":"Safety and efficacy of a new posterior chamber phakic intraocular lens in cases of high myopia:Early results","volume":"14","author":"Subudhi","year":"2020","journal-title":"Clin Ophthalmol"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"538","DOI":"10.3928\/1081597X-20170616-02","article-title":"Outcomes of toric iris-claw phakic intraocular lens implantation after deep anterior lamellar keratoplasty for keratoconus","volume":"33","author":"Tiveron","year":"2017","journal-title":"J Refract Surg"},{"key":"R3-20240828","doi-asserted-by":"crossref","first-page":"2043","DOI":"10.2147\/OPTH.S202054","article-title":"Phakic Intraocular Lens Implantation After Deep Anterior Lamellar Keratoplasty:Retrospective Case Series Analysis With Long-Term Follow-Up","volume":"13","author":"Malheiro","year":"2019","journal-title":"Clin Ophthalmol"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1097\/ICO.0b013e318164e4b8","article-title":"Photorefractive keratectomy with mitomycin C after deep anterior lamellar keratoplasty for keratoconus","volume":"27","author":"Leccisotti","year":"2008","journal-title":"Cornea"},{"key":"R5-20240828","doi-asserted-by":"crossref","first-page":"1308","DOI":"10.1097\/ICO.0000000000001359","article-title":"Stepwise guided photo- refractive keratectomy in treatment of irregular astigmatism after penetrating keratoplasty and deep anterior lamellar keratoplasty","volume":"36","author":"Sorkin","year":"2017","journal-title":"Cornea"},{"key":"R6-20240828","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1016\/j.jcrs.2011.12.034","article-title":"Laser in situ keratomileusis to manage refractive errors after deep anterior lamellar keratoplasty","volume":"38","author":"Acar","year":"2012","journal-title":"J Cataract Refract Surg"},{"key":"R7-20240828","doi-asserted-by":"crossref","first-page":"1168","DOI":"10.1038\/eye.2017.44","article-title":"Femtosecond laser-assisted in situ keratomileusis for the correction of residual ametropia after deep anterior lamellar keratoplasty:A pilot investigation","volume":"31","author":"Balestrazzi","year":"2017","journal-title":"Eye"},{"key":"R8-20240828","doi-asserted-by":"crossref","first-page":"1130","DOI":"10.1097\/ICO.0b013e3181a3c400","article-title":"Relaxing incisions combined with adjustment sutures for post-deep anterior lamellar keratoplasty astigmatism in keratoconus","volume":"28","author":"Javadi","year":"2009","journal-title":"Cornea"},{"key":"R9-20240828","doi-asserted-by":"crossref","first-page":"634","DOI":"10.3928\/1081597X-20150820-10","article-title":"Small incision lenticule extraction after deep anterior lamellar keratoplasty","volume":"31","author":"Mastropasqua","year":"2015","journal-title":"J Refract Surg"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_2627_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:08:57Z","timestamp":1787760537000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_2627_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_2627_22","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3]]},"assertion":[{"value":"2022-10-08","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}