{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:42:13Z","timestamp":1786653733431,"version":"build-2736575974"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare the visual outcomes and complication rates between the extra-ocular needle-guided haptic insertion technique (XNIT) and the conventional handshake (HS) technique of scleral fixation intra-ocular lens (SFIOL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this retrospective study, we retrieved data of those patients who had undergone SFIOL surgery from January 2018 to May 2022 at our institute for aphakia following either a complicated cataract surgery or an ocular trauma and had a minimum follow-up of 3 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of the 156 eyes, the HS technique was done in 80 eyes and the remaining 76 eyes with XNIT. At 3 months follow-up visit, there was no significant difference in the median best corrected visual acuity (BCVA) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.988) and uncorrected visual acuity (UCVA) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.765) between the two techniques. There was no statistically significant difference between pre-operative median BCVA and post-operative UCVA in XNIT (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.961) and the HS technique (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.831) at 3 months follow-up visit. The complication rates between the two techniques were minimal and comparable. The most common post-operative complication was corneal edema. The incidence of cystoid macular edema was slightly more in the XNIT group but not statistically significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.05). Two patients in the HS group developed retinal detachment, which settled after repeat surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The newer XNIT technique was found to be as safe and effective as compared to the conventional HS technique.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_535_23","type":"journal-article","created":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T10:00:53Z","timestamp":1704708053000},"page":"544-548","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Comparative analysis of outcomes of two (popular) techniques of haptic exteriorization in scleral fixation intra-ocular lens surgery \u2013 A retrospective study"],"prefix":"10.4103","volume":"72","author":[{"given":"Prabu","family":"Baskaran","sequence":"first","affiliation":[{"name":"Department of Vitreo-Retina Services, Aravind Eye Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karthik","family":"Srinivasan","sequence":"additional","affiliation":[{"name":"Department of Vitreo-Retina Services, Aravind Eye Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Indu","family":"Govindaraj","sequence":"additional","affiliation":[{"name":"Department of Vitreo-Retina Services, Aravind Eye Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anand","family":"Rajendran","sequence":"additional","affiliation":[{"name":"Department of Vitreo-Retina Services, Aravind Eye Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Archana","family":"Rajamani","sequence":"additional","affiliation":[{"name":"Department of Vitreo-Retina Services, Aravind Eye Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maanasi","family":"Mahalingam","sequence":"additional","affiliation":[{"name":"Department of Vitreo-Retina Services, Aravind Eye Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seema","family":"Ramakrishnan","sequence":"additional","affiliation":[{"name":"Department of Cornea Services, Aravind Eye Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,1,8]]},"reference":[{"key":"R1-20260504","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1097\/ICU.0b013e32835a939f","article-title":"Glued intraocular lens: A major review on surgical technique and results","volume":"24","author":"Kumar","year":"2013","journal-title":"Curr Opin Ophthalmol"},{"key":"R2-20260504","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.ophtha.2013.08.043","article-title":"Sutureless 27-gauge needle\u2013guided intrascleral intraocular lens implantation with lamellar scleral dissection","volume":"121","author":"Yamane","year":"2014","journal-title":"Ophthalmology"},{"key":"R3-20260504","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1016\/j.ophtha.2017.03.036","article-title":"Flanged intrascleral intraocular lens fixation with double-needle technique","volume":"124","author":"Yamane","year":"2017","journal-title":"Ophthalmology"},{"key":"R4-20260504","doi-asserted-by":"crossref","first-page":"e129","DOI":"10.3928\/23258160-20181002-15","article-title":"Comparison of two modified sutureless techniques of scleral fixation of intraocular lens","volume":"49","author":"Kelkar","year":"2018","journal-title":"Ophthalmic Surg Lasers Imaging Retina"},{"key":"R5-20260504","doi-asserted-by":"crossref","first-page":"747","DOI":"10.4103\/ijo.IJO_296_17","article-title":"Extraocular needle-guided haptic insertion technique of scleral fixation intraocular lens surgeries (X-NIT)","volume":"65","author":"Baskaran","year":"2017","journal-title":"Indian J Ophthalmol"},{"key":"R6-20260504","doi-asserted-by":"crossref","first-page":"2205","DOI":"10.4103\/ijo.IJO_2330_19","article-title":"A novel device for safe exteriorization of haptic in scleral fixation intraocular lens surgery","volume":"68","author":"Baskaran","year":"2020","journal-title":"Indian J Ophthalmol"},{"key":"R7-20260504","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.jcrs.2013.01.019","article-title":"Handshake technique for glued intrascleral haptic fixation of a posterior chamber intraocular lens","volume":"39","author":"Agarwal","year":"2013","journal-title":"J Cataract Refract Surg"},{"key":"R8-20260504","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1097\/APO.0000000000000369","article-title":"A systematic review on three major types of scleral-fixated intraocular lens implantation","volume":"10","author":"Wong","year":"2021","journal-title":"Asia Pac J Ophthalmol"},{"key":"R9-20260504","first-page":"25158414211009095","article-title":"Complications and visual outcome of sutureless, scleral fixated intraocular lens in cases with traumatic aphakia","volume":"13","author":"Deb","year":"2021","journal-title":"Ther Adv Ophthalmol"},{"key":"R10-20260504","doi-asserted-by":"crossref","first-page":"1851","DOI":"10.1016\/j.jcrs.2007.07.013","article-title":"Sutureless intrascleral posterior chamber intraocular lens fixation","volume":"33","author":"Gabor","year":"2007","journal-title":"J Cataract Refract Surg"},{"key":"R11-20260504","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12886-019-1172-4","article-title":"Long-term outcome of scleral-fixated intraocular lens implantation without conjunctival peritomies and sclerotomy in ocular trauma patients","volume":"19","author":"Zhao","year":"2019","journal-title":"BMC Ophthalmol"},{"key":"R12-20260504","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1016\/j.jcrs.2009.09.024","article-title":"Intermediate results of sutureless intrascleral posterior chamber intraocular lens fixation","volume":"36","author":"Scharioth","year":"2010","journal-title":"J Cataract Refract Surg"},{"key":"R13-20260504","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":"R14-20260504","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1038\/s41433-021-01880-9","article-title":"Real world outcomes of sutureless and glueless sclerally fixated intraocular lens implantation","volume":"36","author":"Gajula","year":"2022","journal-title":"Eye"},{"key":"R15-20260504","first-page":"2183","article-title":"Endophthalmitis following pars plana vitrectomy: A literature review of incidence, causative organisms, and treatment outcomes","volume":"8","author":"Dave","year":"2014","journal-title":"Clin Ophthalmol (Auckland, NZ)"},{"key":"R16-20260504","doi-asserted-by":"crossref","first-page":"1651","DOI":"10.1007\/s10792-021-01715-2","article-title":"Ten-year trends in the incidence, clinical profile and outcomes of acute-onset endophthalmitis following combined pars plana vitrectomy and sutureless, glueless and flapless scleral fixation of intraocular lenses","volume":"41","author":"Kannan","year":"2021","journal-title":"Int Ophthalmol"},{"key":"R17-20260504","doi-asserted-by":"crossref","first-page":"1432","DOI":"10.4103\/ijo.IJO_1974_19","article-title":"Incidence and management of rhegmatogenous retinal detachment after pars plana vitrectomy and sutureless scleral-fixated intraocular lens","volume":"68","author":"Kumar","year":"2020","journal-title":"Indian J Ophthalmol"},{"key":"R18-20260504","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1080\/09273948.2019.1695858","article-title":"Comparative study of microbiological profile and management outcomes of acute endophthalmitis after microincision vitrectomy surgery versus intravitreal injections","volume":"29","author":"Kannan","year":"2021","journal-title":"Ocular Immunol Inflamm"},{"key":"R19-20260504","doi-asserted-by":"crossref","first-page":"e0191173.","DOI":"10.1371\/journal.pone.0191173","article-title":"Incidence, microbiology, and outcomes of endophthalmitis after 111,876 pars plana vitrectomies at a single, tertiary eye care hospital","volume":"13","author":"Bhende","year":"2018","journal-title":"PLoS One"},{"key":"R20-20260504","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1016\/j.ophtha.2017.01.026","article-title":"Endophthalmitis reduction with intracameral moxifloxacin prophylaxis: Analysis of 600 000 surgeries","volume":"124","author":"Haripriya","year":"2017","journal-title":"Ophthalmology"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_535_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:41:40Z","timestamp":1786650100000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_535_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,8]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_535_23","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,8]]},"assertion":[{"value":"2023-02-21","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}