{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:04:29Z","timestamp":1777579469007,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2013,9,19]],"date-time":"2013-09-19T00:00:00Z","timestamp":1379548800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the indications, visual outcomes, and complication rate after posterior implantation of an iris-claw aphakic intraocular lens (IOL) in subluxated lenses due to Marfan syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eyes without adequate capsular support had posterior chamber iris-claw aphakic IOL implantation between 2006 and 2012.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      This retrospective cohort study comprised 13 eyes of 10 patients (7 female, 3 male; mean age \u00b1 standard deviation, 34.7 \u00b1 19.6; range 9-61 years). The mean follow-up was 37 months (range 6-74 months). The mean final postoperative best-corrected visual acuity was significantly (0.24 \u00b1 0.36 logMAR) better at the last follow-up than 1 day preoperatively (0.72 \u00b1 0.46 logMAR) (p&lt;0.05). There was no significant change in intraocular pressure before and after surgery. The mean endothelial cell density decreased from 2793 \u00b1 478 cells\/mm\n                      <jats:sup>2<\/jats:sup>\n                      preoperatively to 2637 \u00b1 612 cells\/mm\n                      <jats:sup>2<\/jats:sup>\n                      at last follow-up, representing a mean endothelial cell loss of 5.6%. Complications included early transient postoperative hypotony in 2 eyes (15.4%), slight persistent pupil ovalization in 1 eye (7.7%), and retinal detachment in 1 eye (7.7%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The posterior implantation technique of aphakic iris-claw IOL provided good visual outcomes with a favorable complication rate and can be used as a reasonable alternative in subluxated lenses due to Marfan syndrome without adequate capsular support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5301\/ejo.5000366","type":"journal-article","created":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T05:52:25Z","timestamp":1396331545000},"page":"352-357","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Posterior Iris-Claw Aphakic Intraocular Lens Implantation in Subluxated Lenses due to Marfan Syndrome"],"prefix":"10.1177","volume":"24","author":[{"given":"Johannes","family":"Gonnermann","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Charit\u00e9, University Medicine Berlin, Berlin - 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