{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T21:07:41Z","timestamp":1789679261982,"version":"4.0.1"},"reference-count":29,"publisher":"Digital Journal of Opthalmology","issue":"2","license":[{"start":{"date-parts":[[2020,6,26]],"date-time":"2020-06-26T00:00:00Z","timestamp":1593129600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Digit J Ophthalmol"],"abstract":"<jats:p>We report a case of late breakage of a 9-0 polypropylene transscleral suture used for fixation of a dislocated capsular bag\u2013intraocular lens\u2013modified capsular tension ring complex in a 52-year-old woman with Marfan syndrome. Breakage occurred despite use of a cow-hitch technique for external and internal fixation. We believe breakage was caused by the suture chafing on the sharp edges of the modified capsular tension ring eyelet. Cross-sectional analysis of Malyugin-modified capsular tension rings from two different manufacturers revealed a difference with respect to radius of curvature. Suturing intraocular implants with relatively sharp edges may cause suture breakage; further studies are needed to identify the critical parameters for the surface quality of sutured intraocular implants.\nVideo 1\n\nVideo 2\n<\/jats:p>","DOI":"10.5693\/djo.02.2020.04.001","type":"journal-article","created":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T20:00:35Z","timestamp":1617912035000},"page":"7-16","source":"Crossref","is-referenced-by-count":5,"title":["Late dislocation of the capsular bag\u2013intraocular lens\u2013modified capsular tension ring complex after knotless transscleral suturing using 9-0 polypropylene"],"prefix":"10.5693","volume":"26","author":[{"given":"Natalia S.","family":"Anisimova, MD, PhD","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa B.","family":"Arbisser, MD","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalya F.","family":"Shilova, MD, PhD","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman V.","family":"Kirtaev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daria A.","family":"Dibina, MD","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boris E.","family":"Malyugin, MD, PhD","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3822","published-online":{"date-parts":[[2020,6,26]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"1320","DOI":"10.1016\/j.jcrs.2004.12.060","article-title":"Late dislocation of scleral-sutured posterior chamber intraocular lenses","volume":"31","author":"Price","year":"2005","unstructured":"1. 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