Key takeaways:
- Visible acuity improved throughout seven methods for secondary IOL implantation.
- Elements related to higher outcomes have been use of the Yamane method, youthful age and time since surgical procedure.
KIAWAH ISLAND, S.C. — Secondary IOL implantation improved visible acuity over time throughout a number of kinds of methods, based on a speaker.
At Kiawah Eye, David Baxley, MD, offered the outcomes of a retrospective chart assessment of sufferers who underwent secondary IOL implantation for indications together with aphakia, lens dislocation, IOL change and post-trauma issues.
Picture: Nancy Hemphill
“The first final result was the most effective corrected visible acuity at a number of time factors after surgical procedure,” he stated.
The examine included 93 eyes of 93 sufferers (imply age, 67.8 years) that underwent fixation methods together with Yamane (38%), sulcus placement (27%), anterior chamber IOL implantation (17%), iris claw implantation (6%), four-point scleral (5%), two-point scleral (4%) and hybrid (2%). Observe-up occurred at 1 day, 1 week, 1 month, 3 months, 6 months and 1 12 months.
In keeping with Baxley, all surgical methods demonstrated a big enchancment in visible acuity over time, probably the most distinguished being the Yamane method (P = .02), which improved visible acuity from 0.5 logMAR at 1 month to 0.15 logMAR at 1 12 months.
“This helps illustrate that you just actually can’t go improper with any of those,” Baxley stated. “If you realize what you’re doing and you are feeling snug with the method, oftentimes, they do have superb outcomes.”
Different important components related to higher outcomes included youthful affected person age (P = .03) and time since surgical procedure (P < .01). Race, intercourse and laterality weren’t statistically important components for visible acuity outcomes.
Baxley stated that future analysis ought to examine the issues related to secondary IOL implantation, together with hyphema syndrome, vitreous hemorrhage and the necessity for IOL readjustment.
“We’re seeing a whole lot of these circumstances,” he stated.
Sources/Disclosures
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Baxley D. Visible acuity outcomes after secondary IOL implantation: A comparative evaluation. Introduced at: Kiawah Eye; Could 29-31, 2025; Kiawah Island, South Carolina.
Disclosures:
Healio couldn’t verify related monetary disclosures on the time of publication.
