{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:43:14Z","timestamp":1786725794502,"version":"build-2736575974"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","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>This study aims to introduce a new suture method and report surgical outcomes of patients who underwent scleral-fixated intraocular lens (SF-IOL) implantation combined with either pars plana vitrectomy (PPV) or anterior vitrectomy (AV).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>Twenty-three eyes performed SF-IOL implantation combined with PPV (Group 1), and 34 eyes performed SF-IOL implantation combined with AV (Group 2) were included in the study prospectively. The SF-IOL, either polymethyl methacrylate or foldable IOL, was sutured into the sclera using PC-9 sutures in an irregular, knotless, and zigzag-shaped manner. The scleral tunnel was approximately 12-15 mm long, with at least four sharp edges. Suture tips were trimmed within the scleral tunnel. Postoperative outcomes and complications were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Both groups showed no complications such as suture tip expulsion, suture reaction, IOL dislocation, or increased intraocular pressure during postoperative visits. Group 1 exhibited a statistically significant improvement in visual acuity compared to preoperative values (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.036 for the 1\n                      <jats:sup>st<\/jats:sup>\n                      month, &lt;0.001 for the 3\n                      <jats:sup>rd<\/jats:sup>\n                      month). Similarly, Group 2 demonstrated a statistically significant improvement in visual acuity compared to the preoperative period (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001 for the 1\n                      <jats:sup>st<\/jats:sup>\n                      month, &lt;0.001 for the 3\n                      <jats:sup>rd<\/jats:sup>\n                      month).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>The \u201cirregular, knotless, and zigzag-shaped scleral tunnel suture technique\u201d yielded favorable results in terms of IOL stability and visual acuity. This technique can be safely employed in patients undergoing SF-IOL implantation combined with PPV or AV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/sjopt.sjopt_119_23","type":"journal-article","created":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T06:00:19Z","timestamp":1708495219000},"page":"163-167","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Scleral-fixated intraocular lens implantation with \u201cirregular, knotless, zigzag-shaped scleral tunnel suture technique\u201d combined with pars plana vitrectomy or anterior vitrectomy"],"prefix":"10.4103","volume":"38","author":[{"given":"Abuzer","family":"Gunduz","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Malatya Turgut Ozal University School of Medicine, Malatya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emrah","family":"Ozturk","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Malatya Turgut Ozal University School of Medicine, Malatya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cem","family":"Cankaya","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Inonu University School of Medicine, Malatya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamuk B.U.","family":"Atas","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Elaz\u0131g City Hospital, Elaz\u0131g, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,2,22]]},"reference":[{"key":"R1-20260507","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1097\/00055735-200008000-00004","article-title":"Sutured posterior chamber intraocular lenses: \u0130ndications 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