Scleral Fixated Secondary IOLs: An Outcomes Comparison Between the Yamane and Gore-Tex-Sutured Techniques.

BACKGROUND AND OBJECTIVE

Among secondary intraocular lens (IOL) techniques, scleral fixated IOLs (SFIOLs) offer advantages in cases without capsular support. In this article, we compare outcomes between two types of Gore-Tex scleral sutured IOLs with the Yamane technique.

PATIENTS AND METHODS

This study was a retrospective chart review of patients who underwent SFIOL implantation.

RESULTS

Analysis revealed a statistically significant improvement in final postoperative visual acuity (VA) for sutured SFIOLs ( < 0.001, Envista ( = 29) 95% CI 0.47 to 1.04, Akreos ( = 23) 95% CI 0.32 to 0.81) with no statistical improvement in the Yamane group ( = 0.44, = 15, 95% CI -0.33 to 0.71). Outcomes analysis revealed greater incidences of cystoid macular edema (CME) in the Yamane cohort ( < 0.05) and a higher rate of reoperations in the Akreos cohort ( < 0.02). All complications related to suture material ( = 4) and IOL decentration ( = 2) occurred in the sutured SFIOL group.

CONCLUSIONS

The sutureless Yamane technique offered fewer subsequent surgeries and suture-specific complications while revealing diminished VA improvement in long-term follow-up compared to the sutured SFIOLs. .