Comparison Of Two Different Three-Piece Intraocular Lenses Used In Scleral Fixation With The Yamane Technique.

To compare the clinical outcomes of AcrySof MA60AC (Alcon Laboratories, FrotWorth, TX, USA) and Eyecryl Plus TP6130 (Biotech Vision Care, Ahmedabad, Gujarat, India) three-piece intraocular lenses (IOLs) used in scleral fixation with the Yamane technique in terms of visual acuity, intraoperative and postoperative complications.

Kartal Dr Lutfi Kirdar City Hospital

A retrospective, cross-sectional study was conducted at a single referral center. Patients who underwent secondary IOL implantation with the Yamane technique were divided into two groups: the first group was implanted with AcrySof MA60AC (group 1), while the second group was implanted with Eyecryl Plus TP6130 (group 2). Preoperative and postoperative visual acuity, intraoperative and postoperative complications were recorded. Follow-up data included evaluations at 1 day, 1 week, 1 month, 3 months, and 6 months postoperatively. Statistical comparisons were performed between the groups.

A total of 59 patients were included in the study. The mean age was 65.1 ± 19.8 years, with no significant differences between groups in terms of gender and follow-up time. Visual acuity improved significantly in both groups, with group 2 showing statistically significantly higher visual acuity (P = 0.02). Intraoperative complications, including haptic tip fracture and haptic-optic separation, were significantly more frequent in the group 1 (P = 0.001). The three most common postoperative complications were transient intraocular pressure elevation (10.3%), macular edema (6.9%), and intraocular lens dislocation (5.2%).  There was no statistically significant difference in postoperative complications between the two groups (P = 0.21).

Both AcrySof MA60AC  and Eyecryl Plus TP6130 three-piece IOLs demonstrated favorable and predictable outcomes when used with the Yamane technique. Although visual result was comparable, certain intraoperative complications were more common in AcrySof MA60AC  lens group suggesting potential material- or design-related differences between the lenses.