LONG-TERM OUTCOMES AFTER IMPLANTATION OF SUTURELESS INTRASCLERAL FIXATION LENSES AFTER COMPLICATED CATARACT SURGERY - A SINGLE-CENTER RETROSPECTIVE STUDY.

Abstract

The authors report their long-term outcomes and potential complications after using the sutureless intrascleral fixation (SIS) technique to repair patients after complicated cataract surgery. This is a retrospective cohort study of patients who had SIS surgery due to retained lens fragments from January 2015 to January 2025 at Associated Retinal Consultants. Charts were manually reviewed to ensure consistent SIS technique was used in all participants, were followed for at least 6 months, and to analyze main outcome measures. Hundred and forty nine patients met inclusion criteria with an average follow-up time of 918 days. Most patients had the MA60AC lens (96 patients) or ZA9003 lens (32 patients) placed. Three patients and four patients had the AR40 and CT Lucia secondary intraocular lens (IOL), respectively. Endophthalmitis rate was 2.0%, all cases in the MA60AC group, with an average time of 1,469 days, 11% had IOL dislocations at an average of 442 days, 5% had vitreous hemorrhage at an average of 441 days, and 4% had a retinal detachment at an average of 707 days. No difference among IOL types was found between the anatomical outcomes analyzed. After successful SIS IOL implantation, the authors can see patients develop endophthalmitis, vitreous hemorrhage, retinal detachment, and IOL dislocation.