{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:33:05Z","timestamp":1787772785331,"version":"build-2784847793"},"reference-count":36,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare functional outcomes and complication rates of two scleral fixated intraocular lens implantation (SFIOL) techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this retrospective study, there were 30 eyes of 30 patients who underwent SFIOL implantation for dislocation of the IOL or crystalline lens. Group 1 (n = 17) comprised patients who received scleral-fixated polymethylmethacrylate (PMMA) IOL implantation through a self-sealing sclerocorneal tunnel with the suture burial technique, and group 2 (n = 13) comprised patients who received scleral-fixated foldable acrylic IOL implantation with a cartridge using a self-sealing clear corneal incision (CCI) with knotless Z-suture technique between 2014 and 2019. Surgical outcomes concerning safety, efficiency, visual function, induced astigmatism with vector analysis, and complications were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The indications were dislocated crystalline lens (n = 5\/30), dislocated IOL (n = 17\/30), and dropped nucleus (n = 8\/30). The mean follow-up time was 50.65 \u00b1 14.02 months in group 1 and 15.69 \u00b1 3.71 months in group 2 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). The postoperative visual acuity improvement was statistically significant in both groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Surgically induced astigmatism was significantly higher in group 1 (2.68 \u00b1 1.04 D) compared with group 2 (1.6 \u00b1 1.0 D) at month 12 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001). Postoperative complications included suture exposure (n = 1 in group 1) and cystoid macular edema (n = 1 in group 1; n = 1 in group 2).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both SFIOL techniques are safe and effective in the absence of adequate capsular support. However, the knotless Z-suture technique appears to be superior to the suture burial technique with regard to suture exposure-related complications. In addition, self-sealing CCI appears to be superior to self-sealing sclerocorneal tunnel with regard to surgically induced astigmatism.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_551_21","type":"journal-article","created":{"date-parts":[[2021,12,27]],"date-time":"2021-12-27T06:00:43Z","timestamp":1640584843000},"page":"131-137","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["A comparative study of knotless versus knotted transscleral suture-fixated intraocular lens implantation"],"prefix":"10.4103","volume":"70","author":[{"given":"Sami","family":"Yilmaz","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Bursa Retina Eye Hospital, Bursa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aysegul","family":"Mavi Yildiz","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Bursa Retina Eye Hospital, Bursa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Remzi","family":"Avci","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Bursa Retina Eye Hospital, Bursa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,12,23]]},"reference":[{"key":"B1-20240828","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1097\/ICU.0b013e3283331579","article-title":"Cataract surgery in the setting of trauma","volume":"21","author":"Agarwal","year":"2010","journal-title":"Curr Opin Ophthalmol"},{"key":"B2-20240828","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1016\/j.survophthal.2005.06.010","article-title":"Techniques of intraocular lens suspension in the absence of capsular\/zonular support","volume":"50","author":"Por","year":"2005","journal-title":"Surv 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