Impact of gas/air tamponade on refractive outcomes after flanged intrascleral intraocular lens fixation

Abstract

Purpose: This study aims to investigate the postoperative refractive outcomes in eyes that underwent the flanged intrascleral intraocular lens (IOL) fixation combined with vitrectomy with or without gas/air tamponade. Methods: The eyes were divided into two groups (Group A; eyes that underwent flanged intrascleral IOL fixation with gas/air tamponade, and Group B; eyes that underwent flanged intrascleral IOL fixation without gas/air tamponade). The predicted spherical equivalent (SE) refraction values were calculated using the Sander–Retzlaff–Kraff Theoretical formula. Then, the prediction error was calculated by subtracting the predicted SE refraction from the postoperative objective SE refraction and the absolute prediction error was calculated as the absolute value of the prediction error for each eye. Results: A total of 68 eyes were included in the current study. There was a significant correlation between the predicted and postoperative SE refraction in both groups (Group A, r = 0.968, P < 0.0001, Group B, r = 0.943, P < 0.0001, linear regression analysis). The prediction error demonstrated a mild myopic shift after the flanged intrascleral IOL fixation in both groups (Group A, −0.40 ± 0.96 diopter, Group B, −0.59 ± 0.95 diopter). There was no significant difference in prediction error and absolute prediction error between the two groups (P = 0.44, P = 0.70, Wilcoxon rank sum test). Conclusion: The postoperative SE refraction after flanged intrascleral IOL fixation was not influenced by gas/air tamponade.