{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:18:14Z","timestamp":1787840294762,"version":"build-2784847793"},"reference-count":37,"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":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>RATIONAL:<\/jats:title>\n                    <jats:p>The rationale of this study was to evaluate the visual and anatomical outcomes of pars plana lensectomy and iris-claw Artisan intraocular lens (IOL) implantation in patients with subluxated crystalline lenses secondary to Marfan syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>In this retrospective case series, we evaluate the records of 21 eyes of 15 patients with Marfan syndrome and moderate-to-severe crystalline lens subluxation who underwent pars plana lensectomy\/anterior vitrectomy and implantation of iris-claw Artisan IOL at referral hospital from September 2015 to October 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Twenty-one eyes of 15 patients (10 males and five females) with a mean age of 24.47 \u00b1 19.14 years were included. Mean best-corrected visual acuity was improved from 1.17 \u00b1 0.55 logMAR to 0.64 \u00b1 0.71 logMAR at the final follow-up visit (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). The mean intraocular pressure did not change significantly (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.971). The final refraction showed a mean sphere of 0.54 \u00b1 2.46 D and a mean cylinder of 0.81 \u00b1 1.03 at the mean axis of 57.92 \u00b1 58.33 degrees. One eye developed rhegmatogenous retinal detachment 2 months after surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Pars plana lensectomy and iris-claw Artisan IOL implantation seem to be a useful, impressive, and safe procedure with a low rate of complications in Marfan patients with moderate-to-severe crystalline lens subluxation. Visual acuity was significantly improved with acceptable anatomical and refractive outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ojo.ojo_25_22","type":"journal-article","created":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T02:50:51Z","timestamp":1676947851000},"page":"64-68","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Pars plana lensectomy and iris-claw Artisan intraocular lens implantation in patients with Marfan 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