ArticleAmerican journal of ophthalmology case reports2025
Saloon Door Technique - "open sky" IOL exchange utilising flanged haptic fixation behind a pre-existing Artificial Iris.
Article in American journal of ophthalmology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: This paper introduces a novel surgical approach, the "Saloon Door Technique", which allows intraocular lens (IOL) replacement behind a pre-existing Artificial Iris (AI) without its removal. Observations: A 57-year-old patient with a history of complicated cataract surgery, AI implantation, and recurrent corneal decompensation presented with a dislocated anterior chamber IOL. To prevent further corneal decompensation, we performed an IOL exchange and penetrating keratoplasty under open-sky conditions while preserving the AI. The AI was radially incised at two opposite sites to allow the insertion of a new 3-piece IOL through the 'saloon door' into the posterior chamber. The haptics were then externalized and flanged with a Forceps Needle using a modified Yamane technique. The postoperative course was uneventful, with stable IOL positioning and a clear corneal graft at follow-up. Conclusions and importance: The Saloon Door Technique enables IOL implantation behind a pre-existing AI while preserving its integrity. By making two controlled incisions in the AI, the IOL can be carefully maneuvered through the "saloon door", followed by scleral fixation using a modified Yamane technique. This technique represents a valuable advancement in anterior segment surgery for complex cases involving AI and IOL exchange.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.