Comparison of two different intraocular lenses used in the modified Yamane technique.

Purpose: To compare AcrySof MA60AC (Alcon Laboratories, Fort Worth, TX, USA) and Sensar AR40e (Johnson and Johnson, Santa Ana, CA, USA) used in Yamane sutureless scleral fixation technique in terms of visual acuity, refractive stability, and complications.

Methods: A retrospective, cross-sectional study was conducted in Istanbul Başakşehir Çam and Sakura City Hospital. Patients were divided into two groups: The first group consisted of patients with MA60AC lenses, while the second group consisted of patients with AR40e. Aphakic patients who underwent secondary intraocular lens (IOL) implantation and had postoperative minimum 3-month follow-up records were included. Visual acuity, refractive outcomes, perioperative and postoperative complications were recorded.

Results: Forty-nine patients were included in the study. Twenty-two patients were in the first group and 27 patients were in the second group. Age, gender, and follow-up time were similar between groups (P = 0.546, 0.213, and 0.347, respectively). The median lenticular astigmatism value was 0.86 (0.08-2.11) D in group 1 and 0.99 (0.31-2.96) D in group 2 (P = 0.898). There was no significant difference between groups in terms of visual acuity, spherical, cylindrical, and spherical equivalent values (P = 0.752, 0.375, 0.073, and 0.949, respectively). In group 1, a haptic tip fracture and optic-haptic separation were observed perioperatively. Optic-haptic junction separation was observed in one patient in group 1 on postoperative day 1. In group 1, epiretinal membrane development was significantly higher (P = 0.019).

Conclusions: Both AcrySof MA60AC and Sensar AR40e IOLs via the modified Yamane technique yielded favorable and predictable outcomes. Although statistically insignificant, haptic problems were more common in the first group.