We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Scleral Fixated Secondary IOLs: An Outcomes Comparison Between the Yamane and Gore-Tex-Sutured Techniques.
- Authors
Drummond, Sean C.; Feist, Jack E.; Crosson, Jason N.; Haider, Asghar A.; Fuerst, Jonathan S.; Hughes, Devon Askins; Feist, Richard M.
- Abstract
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 to 1.04, Akreos (n = 23) 95% CI 0.32 to 0.81) with no statistical improvement in the Yamane group (P = 0.44, n = 15, 95% CI −0.33 to 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;55:384–390.]
- Subjects
INTRAOCULAR lenses; VISUAL acuity; MACULAR edema; OPHTHALMIC surgery; PATIENTS
- Publication
Ophthalmic Surgery, Lasers & Imaging Retina, 2024, Vol 55, Issue 7, p384
- ISSN
2325-8160
- Publication type
Article
- DOI
10.3928/23258160-20240226-01