{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:02:40Z","timestamp":1787169760925,"version":"build-2736575974"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>PURPOSE:<\/jats:title>\n                    <jats:p>The purpose of the study was to describe the visual outcomes of anterior chamber iris\u2013claw intraocular lens (IOL) implantation in pediatric ectopia lentis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>A retrospective review was conducted on the medical records of children with ectopia lentis who underwent primary anterior iris\u2013claw IOL implantation at a national referral hospital in Indonesia in the years 2013\u20132020. Primary outcomes include visual acuity (VA) and postoperative complications. Postoperative data were collected at 1-year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      A total of 26 eyes of 17 patients were included, the average age at surgery was 9 (5\u201314) years. Uncorrected VA significantly improved (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.000) from an average of 1.6 \u00b1 0.35 logMAR preoperatively to 0.7 \u00b1 0.33 logMAR postoperatively, best-corrected VA also significantly improved, and 77% of eyes that achieved a postoperative best-corrected VA of 0.3 logMAR. Postoperative complications were reported in three eyes, including elevated intraocular pressure, IOL de-enclavation, severe inflammation, and endophthalmitis; all cases were promptly treated and had good visual outcomes. The mean onset of complications was roughly 3 months (77 \u00b1 129 days) after surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Anterior iris\u2013claw implantation in children with ectopia lentis appear to be effective in achieving good visual outcome. With its relatively simple technique, anterior iris\u2013claw implantation can potentially serve as a favorable option for the treatment of pediatric ectopia lentis. Long-term prospective research with larger sample sizes is needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/tjo.tjo_58_21","type":"journal-article","created":{"date-parts":[[2022,2,26]],"date-time":"2022-02-26T04:55:38Z","timestamp":1645851338000},"page":"335-340","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Visual outcome of intraocular Iris\u2013Claw lens implantation in Indonesian children with ectopia lentis"],"prefix":"10.4103","volume":"13","author":[{"given":"Dian E.","family":"Yulia","sequence":"first","affiliation":[{"name":"Department of Pediatric Ophthalmology, Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie D.","family":"Barliana","sequence":"additional","affiliation":[{"name":"Department of Pediatric Ophthalmology, Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diajeng A.","family":"Soeharto","sequence":"additional","affiliation":[{"name":"Department of Pediatric Ophthalmology, Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,2,28]]},"reference":[{"key":"R1-20240830","doi-asserted-by":"crossref","first-page":"114","DOI":"10.5935\/0004-2749.20170027","article-title":"Iris-claw intraocular lens implantation in children with ectopia lentis","volume":"80","author":"\u00c7evik","year":"2017","journal-title":"Arq Bras Oftalmol"},{"key":"R2-20240830","doi-asserted-by":"crossref","first-page":"1977","DOI":"10.1016\/j.jcrs.2004.01.022","article-title":"Artisan aphakic intraocular lens in children with subluxated crystalline lenses","volume":"30","author":"Lifshitz","year":"2004","journal-title":"J Cataract Refract Surg"},{"key":"R3-20240830","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/j.sjopt.2012.05.001","article-title":"Surgical management of non-traumatic pediatric ectopia lentis:A case series and review of the literature","volume":"26","author":"Hsu","year":"2012","journal-title":"Saudi J Ophthalmol"},{"key":"R4-20240830","doi-asserted-by":"crossref","first-page":"269","DOI":"10.3928\/01913913-20150714-02","article-title":"New management strategies for ectopia lentis","volume":"52","author":"Simon","year":"2015","journal-title":"J Pediatr Ophthalmol Strabismus"},{"key":"R5-20240830","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.jaapos.2016.02.006","article-title":"Outcomes after lensectomy for children with Marfan syndrome","volume":"20","author":"Manning","year":"2016","journal-title":"J AAPOS"},{"key":"R6-20240830","doi-asserted-by":"crossref","first-page":"1138","DOI":"10.1111\/ceo.13596","article-title":"Visual outcome and surgical results in children with Marfan syndrome","volume":"47","author":"Rezar-Dreindl","year":"2019","journal-title":"Clin Exp Ophthalmol"},{"key":"R7-20240830","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1038\/eye.2016.140","article-title":"Is an iris claw IOL a good option for correcting surgically induced aphakia in children?A review of the literature and illustrative case study","volume":"30","author":"Barbara","year":"2016","journal-title":"Eye (Lond)"},{"key":"R8-20240830","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1136\/bjophthalmol-2011-300579","article-title":"Artisan iris-claw lenses for the correction of aphakia in children following lensectomy for ectopia lentis","volume":"96","author":"Cleary","year":"2012","journal-title":"Br J Ophthalmol"},{"key":"R9-20240830","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1016\/j.jaapos.2013.12.007","article-title":"Surgical management of lens subluxation in Marfan syndrome","volume":"18","author":"Miraldi Utz","year":"2014","journal-title":"J AAPOS"},{"key":"R10-20240830","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1111\/aos.13192","article-title":"Anterior iris-claw intraocular lens implantation for the management of nontraumatic ectopia lentis:Long-term outcomes in a paediatric cohort","volume":"95","author":"Catal\u00e0-Mora","year":"2017","journal-title":"Acta Ophthalmol"},{"key":"R11-20240830","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1016\/j.ophtha.2007.08.039","article-title":"Three-year results of Artisan\/Verisyse phakic intraocular lens implantation. 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