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

Abstract

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 ( P < 0.001, Envista ( n = 29) 95% CI 0.47 to 1.04, Akreos ( n = 23) 95% CI 0.32 to 0.81) with no statistical improvement in the Yamane group ( P = 0.44, n = 15, 95% CI −0.33 to 0.71). Outcomes analysis revealed greater incidences of cystoid macular edema (CME) in the Yamane cohort ( P < 0.05) and a higher rate of reoperations in the Akreos cohort ( P < 0.02). All complications related to suture material ( n = 4) and IOL decentration ( n = 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. [ Ophthalmic Surg Lasers Imaging Retina 2024;55:384–390.]