Comparison Of Two Different Intraocular Lenses Used In The Modified Yamane Technique
Published 2024 - 42nd Congress of the ESCRS
Reference: PP04.01 | Type: Free paper | DOI: 10.82333/s6nz-q058
Authors: Fahri Onur AYDIN* 1 , Burakhan Kursat AKSOY 1 , Ali CEYLAN 1 , Yusuf Berk AKBAS 1 , Burcin KEPEZ YILDIZ 1 , Yusuf YILDIRIM 1
1Department of Ophthalmology,University of Health Sciences, Basaksehir Cam and Sakura City Hospital,Istanbul,Türkiye
Purpose
To compare AcrySof MA60AC (Alcon Laboratories, Fort Worth, Texas, USA) and Sensar AR40e (Johnson & Johnson, Santa Ana, California, USA) IOLs used in Yamane sutureless scleral fixation technique in terms of visual acuity, refractive stability, tilt, and complications.
Setting
Modified yamane scleral fixation surgeries performed in "Başakşehir Çam and Sakura City Hospital" between January 2023 and December 2023 were retrospectively analyzed.
Methods
Patients were divided into 2 groups according to the type of IOL used. The 1st group consisted of patients with AcrySof MA60AC lenses, while the 2nd group consisted of patients with Sensar AR40e. Visual acuity, refractive outcomes, and perioperative and postoperative complications were recorded. Forty-four patients were included in the study. Seventeen patients were in the first group (AcrySof MA60AC) and 27 patients were in the second group (Sensar AR40e).
Results
There was no significant difference between the groups in terms of age and gender (p=0.546; 0.213, respectively). The median lenticular astigmatism value was 0.86 (0.08-2.11) D in group 1 and 0.99 (0.31-2.96) D in group 2 (p=0.898). There was no significant difference between the groups in visual acuity, spherical, cylindrical, and spherical equivalent values (p>0.05). In group 1, a haptic tip fracture and optic-haptic separation were observed perioperatively. Optic-haptic junction separation was observed in one patient in group 1 postoperative day 1. Cystoid macular edema developed in 2 patients in group 1 and 8 patients in group 2 (p=0.271). In group 1, epiretinal membrane development was significantly higher than in group 2 (p=0,009).
Conclusions
Although there was no statistically significant difference between the groups in terms of lenticular astigmatism, refractive results and visual performance, perioperative and postoperative haptic problems were more common in the first group. Although both IOL haptic materials were polymethylmethacrylate, no haptic complications were observed in Sensar AR40e due to its modified C-shaped haptics.