ABSTRACT Background Scleral fixation of intraocular lenses (IOLs) using the Yamane sutureless flanged technique is an effective alternative to anterior chamber IOLs. The MA60AC lens, a widely available model, is gaining popularity for this method. Methods A retrospective review was completed of patients who underwent scleral-fixated IOL (SFIOL) insertion via the Yamane technique using the MA60AC IOL over a five-year period. The primary outcome was change in best corrected visual acuity (BCVA) at three time points: pre-operatively, first post-operative visit (5 weeks), and final post-operative visit (≥3 months). Secondary outcomes included the difference between target versus achieved post-operative refraction (spherical equivalent, SE) and complication rates. Results 28 eyes of 26 patients were included. Indications were complicated cataract surgery (39%), spontaneous IOL dislocation (36%), trauma (18%) and crystalline lens subluxation (7%). BCVA improved from 1.36 ± 0.75 logMAR pre-operatively to 0.25 ± 0.16 logMAR post-operatively (p < 0.001), with further improvements at the final visit. Mean post-operative refraction was -0.54 ± 1.195 D SE, with a mean difference from target of 0.294 ± 1.011 D. Cystoid macular edema occurred in six eyes. Conclusion Use of the MA60AC IOL via the Yamane technique is a safe, effective option with visual outcomes and complication rates comparable to other IOLs.
Read full abstract