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. .