LONGITUDINAL OUTCOMES STUDY OF SUTURELESS SCLERAL-FIXATED INTRAOCULAR LENSES.

Abstract

Outcomes of sutureless scleral-fixated intraocular lens (SSFIOL) have primarily focused upon short-term results. This retrospective, observational clinical study focuses upon the long-term visual acuity and anatomic outcomes of SSFIOLs. A comprehensive medical record review of patients that underwent SSFIOL placement by a single surgeon from 2015 through 2024 was performed. Pre- and postoperative BCVA, anatomic outcomes, and complications were documented. Statistical analysis was performed. Forty-three patients (ages 18 to 91 years, mean = 63) with follow-up ranging from 1 to 100.5 months (mean = 27.5, median = 14.67) met inclusion criteria. Mean preoperative BCVA was 1.11 logMAR units (Snellen ratio: 20/250) ± 0.59 SD. Mean postoperative BCVA improvement was statistically significant at 1, 3, 6, 9 months, and 1, 2, 3 years. Postoperative complications included hyphema (n=3), vitreous hemorrhage (n=14), transient ocular hypertension (n=8) and hypotony (n=5), haptic erosion (n=3), IOL dislocation or damage (n=4), cystoid macular edema (CME, n=8). All complications were identified within 1.25 years of follow-up excluding 2 cases of CME. SSFIOL patients demonstrated statistically significant and gradual BCVA improvement up to 3 years postoperatively. Cases of CME were identified up to 3 years postoperatively.