Long Term Outcomes After Implantation of Sutureless Intrascleral Fixation Lenses Following Complicated Cataract Surgery - A Single Center Retrospective Study.

Document Type

Article

Publication Date

2-13-2026

Publication Title

Retina (Philadelphia, Pa.)

Abstract

PURPOSE: We report our long term outcomes and potential complications after using the SIS technique to repair patients following complicated cataract surgery.

METHODS: This is a retrospective cohort study of patients that 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.

RESULTS: 149 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. 3 patients and 4 patients had the AR40 and CT Lucia IOL respectively. Endophthalmitis rate was 2.0%, all cases in the MA60AC group, with an average time of 1469 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 anatomic outcomes analyzed.

CONCLUSIONS: Following successful SIS IOL implantation, we can see patients develop endophthalmitis, vitreous hemorrhage, retinal detachment, and IOL dislocation.

DOI

10.1097/IAE.0000000000004816

ISSN

1539-2864

PubMed ID

41707119

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