LONG-TERM OUTCOMES AFTER IMPLANTATION OF SUTURELESS INTRASCLERAL FIXATION LENSES AFTER COMPLICATED CATARACT SURGERY -...

Area of Science:

• Ophthalmology
• Retinal Surgery
• Cataract Surgery

Background:

• Complicated cataract surgeries can lead to retained lens fragments.
• The Scleral-Insured Suture (SIS) technique is used to manage these complications.
• Long-term outcomes of the SIS technique require further investigation.

Purpose of the Study:

• To evaluate the long-term outcomes and potential complications of the SIS technique.
• To assess the safety and efficacy of SIS IOL implantation in patients with complicated cataract surgery.

Main Methods:

• Retrospective cohort study of 149 patients undergoing SIS surgery for retained lens fragments (January 2015 - January 2025).
• Manual chart review to confirm consistent SIS technique and follow-up of at least 6 months.
• Analysis of main outcome measures including endophthalmitis, IOL dislocation, vitreous hemorrhage, and retinal detachment.

Main Results:

• Average follow-up was 918 days. MA60AC and ZA9003 were the most common IOLs used.
• Complication rates included endophthalmitis (2.0%), IOL dislocation (11%), vitreous hemorrhage (5%), and retinal detachment (4%).
• No significant difference in anatomic outcomes was observed among different IOL types.

Conclusions:

• The SIS technique can lead to significant long-term complications such as endophthalmitis, IOL dislocation, vitreous hemorrhage, and retinal detachment.
• These findings highlight the importance of vigilant post-operative monitoring in patients who have undergone SIS IOL implantation.