OUTCOMES IN EYES WITH RETAINED LENS FRAGMENTS UNDERGOING PARS PLANA LENSECTOMY AND SCLERAL-FIXATED INTRAOCULAR LENS INSERTION.

Purpose: To report the visual outcomes and complications in eyes with retained lens fragments following cataract surgery undergoing pars plana lensectomy and scleral-fixated intraocular lens (SFIOL) insertion.

Methods: Patients with retained lens fragments who underwent pars plana vitrectomy, pars plana lensectomy, and SFIOL insertion from January 2015 to December 2022 were included. The visual acuity outcomes and complication rates were compared between those receiving sutured versus sutureless SFIOL insertion as well as those undergoing SFIOL insertion at the time of pars plana vitrectomy and pars plana lensectomy versus those undergoing SFIOL insertion during subsequent surgery.

Results: Sixty-five eyes of 65 patients were included. The median (interquartile range) preoperative logarithm of the minimum angle of resolution visual acuity was 2.3 (2-2.3; Snellen: HM). The median logarithm of the minimum angle of resolution visual acuity improved to 0.14 (Snellen: 20/100), at the most recent follow-up ( P < 0.001, Hodges-Lehmann estimator: 1.56, 95% confidence interval -1.30 to -1.71). There was no statistically significant difference in visual acuity outcomes and complication rates, including cystoid macular edema, corneal edema, and retinal detachment, regardless of technique or timing of SFIOL insertion.

Conclusion: In this retrospective study with a small sample size, similar visual acuity outcomes and complication rates were observed regardless of the timing or technique of SFIOL insertion.