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Published on: September 16, 2025
Comparing Refractive Outcomes of Secondary Lens Surgery between Ophthalmology Subspecialties in Patients with Good
Kannan Sharma1, Rachel Naomi Israilevich2, Emily Ross1
1Alix School of Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Purpose:
The study compares refractive outcomes of secondary intraocular lens (SIOL) surgery performed by vitreoretinal, anterior segment, and both surgeons.
Methods:
Eyes included in this study underwent SIOLfrom 2012-2024and had a final post-operative visual acuity of 20/50 or better Regression analysis compared refractive outcomes and chi squared analysis compared complications between subspecialty of SIOL surgeon.
Results:
94, 104, and 80 eyes were included in the retina surgeon, anterior segment surgeon, and combo surgeon cohorts respectively. There was no significant difference in error between target and final post-op spherical equivalence (SE) between retina and combo (p= 0.079), retina and anterior segment (p=0.135), or anterior segment and combo cohorts (p=0.567). There was no significant difference in number of eyes with final SE within 1 diopter of target SE between retina and combo (p=0.136), retina and anterior segment (p=0.061), or anterior segment and combo cohorts (p=0.783). The retina cohort had higher post-operative corneal edema than the combo (p=0.017) and the anterior segment cohorts (p=0.035). The combo cohort had more post-operative retinal detachment than the anterior segment cohort (p=0.046).
Conclusion:
In eyes with good visual final vision, retina and anterior segment surgeons have similar refractive outcomes following SIOL surgery.
