{"id":"https://openalex.org/W7213547726","doi":"https://doi.org/10.47895/amp.v60i17.13492","title":"Modified Three-port Approach for Absolute Alcohol-induced Sclerosis of Iris Stromal Cyst: A Case Report","display_name":"Modified Three-port Approach for Absolute Alcohol-induced Sclerosis of Iris Stromal Cyst: A Case Report","publication_year":2026,"publication_date":"2026-09-15","ids":{"openalex":"https://openalex.org/W7213547726","doi":"https://doi.org/10.47895/amp.v60i17.13492","pmid":"https://pubmed.ncbi.nlm.nih.gov/42952907","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13713870"},"language":"en","primary_location":{"id":"doi:10.47895/amp.v60i17.13492","doi":"https://doi.org/10.47895/amp.v60i17.13492","is_oa":true,"landing_page_url":"https://doi.org/10.47895/amp.v60i17.13492","pdf_url":"https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/download/13492/7258","source":{"id":"https://openalex.org/S4306500404","display_name":"Acta Medica Philippina","issn_l":"0001-6071","issn":["0001-6071","2094-9278"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310319568","host_organization_name":"University of the Philippines Manila","host_organization_lineage":["https://openalex.org/P4310319568","https://openalex.org/P4310319558"],"host_organization_lineage_names":["University of the Philippines Manila","University of the Philippines"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acta Medica Philippina","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/download/13492/7258","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5069428624","display_name":"Bobbie Marie M. Santos","orcid":"https://orcid.org/0000-0002-6377-181X","observed_orcids":["https://orcid.org/0000-0002-6377-181X"]},"institutions":[{"id":"https://openalex.org/I2802181614","display_name":"Philippine General Hospital","ror":"https://ror.org/00a56am39","country_code":"PH","type":"healthcare","lineage":["https://openalex.org/I103911934","https://openalex.org/I2802181614"]},{"id":"https://openalex.org/I5791819","display_name":"University of the Philippines Manila","ror":"https://ror.org/01rrczv41","country_code":"PH","type":"education","lineage":["https://openalex.org/I103911934","https://openalex.org/I5791819"]}],"countries":["PH"],"is_corresponding":true,"raw_author_name":"Bobbie Marie M. Santos, MD, PhD","raw_affiliation_strings":["Department of Ophthalmology and Visual Sciences, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines"],"raw_orcid":"https://orcid.org/0000-0002-6377-181X","affiliations":[{"raw_affiliation_string":"Department of Ophthalmology and Visual Sciences, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines","institution_ids":["https://openalex.org/I2802181614","https://openalex.org/I5791819"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109707721","display_name":"Jayvee S. Rivera","orcid":"https://orcid.org/0009-0006-5979-859X","observed_orcids":["https://orcid.org/0009-0006-5979-859X"]},"institutions":[{"id":"https://openalex.org/I2802181614","display_name":"Philippine General Hospital","ror":"https://ror.org/00a56am39","country_code":"PH","type":"healthcare","lineage":["https://openalex.org/I103911934","https://openalex.org/I2802181614"]},{"id":"https://openalex.org/I5791819","display_name":"University of the Philippines Manila","ror":"https://ror.org/01rrczv41","country_code":"PH","type":"education","lineage":["https://openalex.org/I103911934","https://openalex.org/I5791819"]}],"countries":["PH"],"is_corresponding":false,"raw_author_name":"Jayvee S. Rivera, MD","raw_affiliation_strings":["Department of Ophthalmology and Visual Sciences, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines"],"raw_orcid":"https://orcid.org/0009-0006-5979-859X","affiliations":[{"raw_affiliation_string":"Department of Ophthalmology and Visual Sciences, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines","institution_ids":["https://openalex.org/I2802181614","https://openalex.org/I5791819"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088192242","display_name":"George Michael N Sosuan","orcid":"https://orcid.org/0000-0002-1306-3727","observed_orcids":["https://orcid.org/0000-0002-1306-3727"]},"institutions":[{"id":"https://openalex.org/I2802181614","display_name":"Philippine General Hospital","ror":"https://ror.org/00a56am39","country_code":"PH","type":"healthcare","lineage":["https://openalex.org/I103911934","https://openalex.org/I2802181614"]},{"id":"https://openalex.org/I5791819","display_name":"University of the Philippines Manila","ror":"https://ror.org/01rrczv41","country_code":"PH","type":"education","lineage":["https://openalex.org/I103911934","https://openalex.org/I5791819"]}],"countries":["PH"],"is_corresponding":false,"raw_author_name":"George Michael N. Sosuan, MD","raw_affiliation_strings":["Department of Ophthalmology and Visual Sciences, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines"],"raw_orcid":"https://orcid.org/0000-0002-1306-3727","affiliations":[{"raw_affiliation_string":"Department of Ophthalmology and Visual Sciences, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines","institution_ids":["https://openalex.org/I2802181614","https://openalex.org/I5791819"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028935369","display_name":"Reginald Robert G. Tan","orcid":"https://orcid.org/0000-0001-5854-8472","observed_orcids":["https://orcid.org/0000-0001-5854-8472"]},"institutions":[{"id":"https://openalex.org/I2802181614","display_name":"Philippine General Hospital","ror":"https://ror.org/00a56am39","country_code":"PH","type":"healthcare","lineage":["https://openalex.org/I103911934","https://openalex.org/I2802181614"]},{"id":"https://openalex.org/I4210116402","display_name":"St. Luke's Medical Center","ror":"https://ror.org/02h4kdd20","country_code":"PH","type":"healthcare","lineage":["https://openalex.org/I4210116402"]},{"id":"https://openalex.org/I5791819","display_name":"University of the Philippines Manila","ror":"https://ror.org/01rrczv41","country_code":"PH","type":"education","lineage":["https://openalex.org/I103911934","https://openalex.org/I5791819"]}],"countries":["PH"],"is_corresponding":false,"raw_author_name":"Reginald Robert G. Tan, MD","raw_affiliation_strings":["Department of Ophthalmology and Visual Sciences, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines","Eye Institute, St. Luke\u2019s Medical Center, Quezon City, Philippines"],"raw_orcid":"https://orcid.org/0000-0001-5854-8472","affiliations":[{"raw_affiliation_string":"Department of Ophthalmology and Visual Sciences, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines","institution_ids":["https://openalex.org/I2802181614","https://openalex.org/I5791819"]},{"raw_affiliation_string":"Eye Institute, St. Luke\u2019s Medical Center, Quezon City, Philippines","institution_ids":["https://openalex.org/I4210116402"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5083247920","display_name":"Ruben Lim Bon Siong","orcid":"https://orcid.org/0009-0004-6300-0785","observed_orcids":["https://orcid.org/0009-0004-6300-0785"]},"institutions":[{"id":"https://openalex.org/I2802181614","display_name":"Philippine General Hospital","ror":"https://ror.org/00a56am39","country_code":"PH","type":"healthcare","lineage":["https://openalex.org/I103911934","https://openalex.org/I2802181614"]},{"id":"https://openalex.org/I4210116402","display_name":"St. Luke's Medical Center","ror":"https://ror.org/02h4kdd20","country_code":"PH","type":"healthcare","lineage":["https://openalex.org/I4210116402"]},{"id":"https://openalex.org/I5791819","display_name":"University of the Philippines Manila","ror":"https://ror.org/01rrczv41","country_code":"PH","type":"education","lineage":["https://openalex.org/I103911934","https://openalex.org/I5791819"]}],"countries":["PH"],"is_corresponding":false,"raw_author_name":"Ruben Lim Bon Siong, MD","raw_affiliation_strings":["Department of Ophthalmology and Visual Sciences, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines","Eye Institute, St. Luke\u2019s Medical Center, Quezon City, Philippines"],"raw_orcid":"https://orcid.org/0009-0004-6300-0785","affiliations":[{"raw_affiliation_string":"Department of Ophthalmology and Visual Sciences, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines","institution_ids":["https://openalex.org/I2802181614","https://openalex.org/I5791819"]},{"raw_affiliation_string":"Eye Institute, St. Luke\u2019s Medical Center, Quezon City, Philippines","institution_ids":["https://openalex.org/I4210116402"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5069428624"],"corresponding_institution_ids":["https://openalex.org/I2802181614","https://openalex.org/I5791819"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.71487497,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"60","issue":"17","first_page":"91","last_page":"98"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11291","display_name":"Intraocular Surgery and Lenses","score":0.5580999851226807,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11291","display_name":"Intraocular Surgery and Lenses","score":0.5580999851226807,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12989","display_name":"Ocular Disorders and Treatments","score":0.14399999380111694,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11328","display_name":"Ocular Oncology and Treatments","score":0.06109999865293503,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pediatric-ophthalmic-surgery","display_name":"pediatric eye surgery","score":0.5419999957084656},{"id":"https://openalex.org/keywords/cyst-recurrence","display_name":"cyst recurrence","score":0.5249999761581421},{"id":"https://openalex.org/keywords/resource-limited-settings","display_name":"resource-limited settings","score":0.8090000152587891}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8799999952316284},{"id":"https://openalex.org/C2781092963","wikidata":"https://www.wikidata.org/wiki/Q650050","display_name":"Intraocular pressure","level":2,"score":0.6036999821662903},{"id":"https://openalex.org/C118487528","wikidata":"https://www.wikidata.org/wiki/Q161437","display_name":"Ophthalmology","level":1,"score":0.5932000279426575},{"id":"https://openalex.org/C2779503344","wikidata":"https://www.wikidata.org/wiki/Q5973514","display_name":"IRIS (biosensor)","level":3,"score":0.5598000288009644},{"id":"https://openalex.org/C2778257484","wikidata":"https://www.wikidata.org/wiki/Q555066","display_name":"Visual acuity","level":2,"score":0.48249998688697815},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4812000095844269},{"id":"https://openalex.org/C16930146","wikidata":"https://www.wikidata.org/wiki/Q4381253","display_name":"Stromal cell","level":2,"score":0.4693000018596649},{"id":"https://openalex.org/C2781242345","wikidata":"https://www.wikidata.org/wiki/Q924295","display_name":"Vitrectomy","level":3,"score":0.421099990606308},{"id":"https://openalex.org/C2776882836","wikidata":"https://www.wikidata.org/wiki/Q168291","display_name":"Cornea","level":2,"score":0.37869998812675476},{"id":"https://openalex.org/C2780070996","wikidata":"https://www.wikidata.org/wiki/Q61482373","display_name":"Trypan blue","level":3,"score":0.3718999922275543},{"id":"https://openalex.org/C2776914593","wikidata":"https://www.wikidata.org/wiki/Q1378235","display_name":"Forceps","level":2,"score":0.33079999685287476},{"id":"https://openalex.org/C2778527774","wikidata":"https://www.wikidata.org/wiki/Q159701","display_name":"Glaucoma","level":2,"score":0.3224000036716461},{"id":"https://openalex.org/C2778571141","wikidata":"https://www.wikidata.org/wiki/Q273318","display_name":"Syringe","level":2,"score":0.31869998574256897},{"id":"https://openalex.org/C2776148792","wikidata":"https://www.wikidata.org/wiki/Q3041498","display_name":"Eye disease","level":2,"score":0.29409998655319214},{"id":"https://openalex.org/C2780597408","wikidata":"https://www.wikidata.org/wiki/Q193211","display_name":"Cyst","level":2,"score":0.2865000069141388},{"id":"https://openalex.org/C2777394604","wikidata":"https://www.wikidata.org/wiki/Q173318","display_name":"Pupil","level":2,"score":0.2694000005722046},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.2524999976158142},{"id":"https://openalex.org/C2909399601","wikidata":"https://www.wikidata.org/wiki/Q168291","display_name":"Corneal Diseases","level":3,"score":0.251800000667572}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.47895/amp.v60i17.13492","doi":"https://doi.org/10.47895/amp.v60i17.13492","is_oa":true,"landing_page_url":"https://doi.org/10.47895/amp.v60i17.13492","pdf_url":"https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/download/13492/7258","source":{"id":"https://openalex.org/S4306500404","display_name":"Acta Medica Philippina","issn_l":"0001-6071","issn":["0001-6071","2094-9278"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310319568","host_organization_name":"University of the Philippines Manila","host_organization_lineage":["https://openalex.org/P4310319568","https://openalex.org/P4310319558"],"host_organization_lineage_names":["University of the Philippines Manila","University of the Philippines"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acta Medica Philippina","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13713870","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13713870/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13713870/pdf/AMP-60-17-13492.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acta Med Philipp","raw_type":"Text"},{"id":"pmid:42952907","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42952907","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acta medica Philippina","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.47895/amp.v60i17.13492","doi":"https://doi.org/10.47895/amp.v60i17.13492","is_oa":true,"landing_page_url":"https://doi.org/10.47895/amp.v60i17.13492","pdf_url":"https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/download/13492/7258","source":{"id":"https://openalex.org/S4306500404","display_name":"Acta Medica Philippina","issn_l":"0001-6071","issn":["0001-6071","2094-9278"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310319568","host_organization_name":"University of the Philippines Manila","host_organization_lineage":["https://openalex.org/P4310319568","https://openalex.org/P4310319558"],"host_organization_lineage_names":["University of the Philippines Manila","University of the Philippines"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acta Medica Philippina","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9922999739646912,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7213547726.pdf","grobid_xml":"https://content.openalex.org/works/W7213547726.grobid-xml"},"referenced_works_count":8,"referenced_works":["https://openalex.org/W1916834818","https://openalex.org/W2008736022","https://openalex.org/W2013780708","https://openalex.org/W2081180088","https://openalex.org/W2751706854","https://openalex.org/W4283791881","https://openalex.org/W4407246693","https://openalex.org/W4412437077"],"related_works":["https://openalex.org/W2097985829","https://openalex.org/W3172637628","https://openalex.org/W4206758583","https://openalex.org/W3196201313","https://openalex.org/W2072172937","https://openalex.org/W4403850396","https://openalex.org/W2106469260","https://openalex.org/W3048011500","https://openalex.org/W7160820521","https://openalex.org/W2474460755"],"abstract_inverted_index":{"Iris":[0],"stromal":[1,79,128,238],"cysts":[2,239],"are":[3],"rare,":[4],"progressive":[5],"ocular":[6,83],"lesions":[7],"that":[8],"can":[9],"cause":[10],"visual":[11,17,213,245],"impairment":[12],"and":[13,24,34,46,109,115,150,190,221,249,261,277],"amblyopia":[14],"due":[15,31,124],"to":[16,32,118,125,141,155],"axis":[18,246],"obstruction,":[19,247],"corneal":[20,184],"endothelial":[21],"damage,":[22],"uveitis,":[23],"secondary":[25,82],"angle-closure":[26],"glaucoma.":[27],"Management":[28],"is":[29,55],"challenging":[30],"recurrence,":[33],"surgical":[35],"resection":[36],"carries":[37],"severe":[38],"risks":[39],"such":[40,243],"as":[41,244],"epithelial":[42],"downgrowth,":[43],"glaucoma,":[44,248],"blindness,":[45],"potential":[47],"loss":[48],"of":[49,75,106,215,230,274,279],"the":[50,61,72,112,206,228,250,272],"eye.":[51],"Absolute":[52],"alcohol-induced":[53,97],"sclerosis":[54],"a":[56,76,86,91,103,137,142,145,156,167,175,211,231,259],"less":[57],"invasive":[58,254],"alternative;":[59],"however,":[60],"literature":[62],"on":[63],"technique":[64,257,276],"modifications":[65],"remains":[66],"limited.":[67],"This":[68,225,256],"case":[69,226],"report":[70],"describes":[71],"successful":[73],"management":[74],"primary":[77],"iris":[78,127,237],"cyst":[80,223],"with":[81,102,162,199,210,282],"hypertension":[84],"in":[85,111,235,265],"9-year-old":[87],"Filipino":[88],"male":[89],"using":[90,136],"modified":[92,131,232],"three-port":[93,132,233],"approach":[94,234],"for":[95,148,172,252,286],"absolute":[96,159],"sclerosis.":[98],"The":[99,268],"patient":[100,207],"presented":[101],"4-month":[104],"history":[105],"intermittent":[107],"redness":[108],"pain":[110],"left":[113],"eye":[114],"was":[116,134,170],"found":[117],"have":[119],"elevated":[120],"intraocular":[121,192],"pressure":[122,193],"(IOP)":[123],"an":[126,151],"cyst.":[129],"A":[130],"setup":[133],"prepared":[135],"30-gauge":[138],"needle":[139],"connected":[140,154],"3-way":[143],"stopcock,":[144],"3-mL":[146,168],"syringe":[147,157,169,177],"aspiration,":[149],"extension":[152],"tube":[153],"containing":[158],"alcohol":[160,173,280],"mixed":[161],"trypan":[163],"blue":[164],"dye.":[165],"Although":[166],"used":[171],"infusion,":[174],"1-mL":[176],"may":[178],"provide":[179],"finer":[180],"control.":[181],"Postoperatively,":[182],"transient":[183],"edema,":[185],"mild":[186],"anterior":[187],"chamber":[188],"inflammation,":[189],"steroid-induced":[191],"elevation":[194],"were":[195],"observed":[196],"but":[197],"resolved":[198],"medical":[200],"management.":[201],"At":[202],"18":[203],"months":[204],"post-surgery,":[205],"remained":[208],"asymptomatic,":[209],"best-corrected":[212],"acuity":[214],"20/20,":[216],"well-controlled":[217],"IOP":[218],"without":[219],"medication,":[220],"no":[222],"recurrence.":[224],"illustrates":[227],"effectiveness":[229],"treating":[236],"while":[240],"preventing":[241],"complications":[242],"need":[251],"more":[253],"surgery.":[255],"presents":[258],"practical":[260],"accessible":[262],"option,":[263],"especially":[264],"resource-limited":[266],"settings.":[267],"paper":[269],"also":[270],"emphasizes":[271],"importance":[273],"meticulous":[275],"awareness":[278],"leakage,":[281],"key":[283],"precautions":[284],"outlined":[285],"safe":[287],"application.":[288]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-09-18T00:00:00"}