ESCRS - POCAT557 - Outcomes Of Sutureless Scleral-Fixated Intraocular Lens Implantation Using A Modified Yamane Technique Performed By Anterior Segment Surgeons

Outcomes Of Sutureless Scleral-Fixated Intraocular Lens Implantation Using A Modified Yamane Technique Performed By Anterior Segment Surgeons

Published 2026 - 44th Congress of the ESCRS

Reference: POCAT557 | Type: Free paper | DOI: 10.82333/wkkr-zm40

Authors: Dr Basma Matar* 1 , Dr Ali Salimi 2 , Dr Ayman AlJohani 1 , Dr Mahshad Darvish-Zargar 1

1McGill University,Montreal,Canada, 2Wills Eye Hospital,Philadelphia,United States

Purpose

To evaluate the visual outcomes, refractive predictability, and safety profile of sutureless scleral-fixated intraocular lens (IOL) implantation using a modified Yamane technique when performed by anterior segment surgeons.

Setting

This retrospective, consecutive case series was conducted at a tertiary referral ophthalmology center.

Methods

All patients who underwent sutureless scleral fixation of a three-piece intraocular lens (Sensar AR40) using a modified Yamane technique performed by a single anterior segment–trained surgeon were included. Baseline demographic and clinical characteristics, surgical indication, postoperative visual and refractive outcomes, and intraoperative and postoperative adverse events were analyzed. Outcomes were assessed through the final available follow-up visit.

 

Results

A total of 65 eyes were included, with a mean follow-up duration of 18 ± 6.0 months. Surgical indications included IOL subluxation or dislocation in 71% of cases, aphakia in 25%, opacified IOL in 2%, and IOL intolerance in 2%. Best-corrected visual acuity improved significantly from a preoperative mean of 1.10 ± 0.80 logMAR to 0.47 ± 0.51 logMAR at final follow-up (p < 0.001). Refractive outcomes were favorable, with 85% of eyes achieving a postoperative spherical equivalent within ±0.50 diopters of target. Secondary surgical intervention was required in 18% of eyes. Additional postoperative complications included vitreous hemorrhage (11%), cystoid macular edema (9%), layered hyphema (8%), and serous choroidal detachment (6%).

Conclusions

Sutureless scleral fixation of the Sensar AR40 intraocular lens using a modified Yamane technique was associated with significant visual improvement and good refractive accuracy in this cohort. Postoperative complication rates were comparable to those reported by posterior segment surgeons. These findings support the feasibility of this procedure in the hands of anterior segment surgeons, while underscoring the importance of careful postoperative surveillance.