{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:30:11Z","timestamp":1786649411043,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>We describe and assess the efficiency of a novel technique of placing implantable collamer lens (ICL) footplates in the sulcus in poorly dilated pupils utilizing perioptic holes and two instruments simultaneously (Sinskey hook and ICL manipulator). Twelve eyes of 10 patients underwent ICL implantation through this technique. The technique employs a bimanual approach engaging perioptic holes in the eyes with intraoperative miosis. Perioptic holes were engaged with a Sinskey hook and pulled slightly back, while the footplates were tucked under the iris by using an ICL manipulator. All patients had uneventful surgery. At 1 week follow-up, uncorrected distance visual acuity (UCDVA) was \u22120.01 \u00b1 0.04 logMAR with a mean vault of 606.17 \u00b1 108.33 microns. No complications were noted. However, too small a pupil is a limiting factor; this technique can be of use in up to mid-dilated pupils. Bimanual placement of haptics of ICL may represent a safe and effective technique in insufficient mydriasis or intraoperative pupillary miosis.<\/jats:p>","DOI":"10.4103\/ijo.ijo_3003_23","type":"journal-article","created":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T02:00:08Z","timestamp":1713232808000},"page":"1352-1354","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Bimanual technique for placement of footplates of phakic intraocular lens in eyes with intraoperative miosis"],"prefix":"10.4103","volume":"72","author":[{"given":"Rajesh","family":"Sinha","sequence":"first","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahnaz","family":"Anjum","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aafreen","family":"Bari","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,4,16]]},"reference":[{"key":"R1-20260427","doi-asserted-by":"crossref","first-page":"1329874","DOI":"10.1155\/2018\/1329874","article-title":"Early results with a new posterior chamber phakic intraocular lens in patients with high myopia","volume":"2018","author":"Ya\u015fa","year":"2018","journal-title":"J Ophthalmol"},{"key":"R2-20260427","doi-asserted-by":"crossref","first-page":"765","DOI":"10.3928\/1081597X-20110617-01","article-title":"Implantable collamer posterior chamber intraocular lenses: A review of potential complications","volume":"27","author":"Fernandes","year":"2011","journal-title":"J Refract Surg"},{"key":"R3-20260427","first-page":"393","article-title":"Anterior chamber plastic lenses. Results of and conclusions from five years\u2019 experience","volume":"79","author":"Barraquer","year":"1959","journal-title":"Trans Ophthalmol Soc U K"},{"key":"R4-20260427","doi-asserted-by":"crossref","first-page":"169","DOI":"10.3928\/1081597X-20190118-01","article-title":"Five-year follow-up of correction of myopia: Posterior chamber phakic intraocular lens with a central port design","volume":"35","author":"Alfonso","year":"2019","journal-title":"J Refract Surg"},{"key":"R5-20260427","doi-asserted-by":"crossref","first-page":"2427","DOI":"10.2147\/OPTH.S188785","article-title":"The implantable collamer lens with a central port: Review of the literature","volume":"12","author":"Packer","year":"2018","journal-title":"Clin Ophthalmol"},{"key":"R6-20260427","article-title":"Staar Surgical Company Product information","year":"2020"},{"key":"R7-20260427","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1136\/bjophthalmol-2011-300148","article-title":"Early clinical outcomes of implantation of posterior chamber phakic intraocular lens with a central hole (Hole ICL) for moderate to high myopia","volume":"96","author":"Shimizu","year":"2012","journal-title":"Br J Ophthalmol"},{"key":"R8-20260427","first-page":"6641475","article-title":"A case of implantable collamer lens (ICL) with reverse orientation for 10 years","volume":"2021","author":"AlQahtani","year":"2021","journal-title":"Case Rep Ophthalmol Med"},{"key":"R9-20260427","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1016\/S0161-6420(02)01973-5","article-title":"Lens opacities after posterior chamber phakic intraocular lens implantation","volume":"110","author":"S\u00e1nchez-Galeana","year":"2003","journal-title":"Ophthalmology"},{"key":"R10-20260427","doi-asserted-by":"crossref","first-page":"173.","DOI":"10.1186\/s12886-022-02402-1","article-title":"Comparison of different pupil dilatation methods for phacoemulsification in eyes with a small pupil","volume":"22","author":"Wang","year":"2022","journal-title":"BMC Ophthalmol"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_3003_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:53:50Z","timestamp":1786647230000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_3003_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,16]]},"references-count":10,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_3003_23","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,16]]},"assertion":[{"value":"2023-11-13","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-25","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}