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 0.47–1.04, Akreos (
n
= 23) 95% CI 0.32–0.81) with no statistical improvement in the Yamane group (
P
= 0.44,
n
= 15, 95% CI −0.33–0.71). 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:xx–xx.]