Clinical Outcomes of Secondary Scleral-Sutured Foldable Hydrophilic Acrylic Intraocular Lens Placement by Trainees: A Single-Site Analysis

Figures & data

Table 1 Cohort Baseline Characteristics, Indications for Scleral-Fixated IOL, and Risk Factors of All Cases Reviewed

	n (%)	Mean ± SD
Demographics
Age at time of surgery (years)	52	62.8 ± 12.2 (range 26.9–88.4, median 62.7)
Follow-up duration (months)	52	11.1 ± 7.5
Male sex	31 (59.6%)
Primary indication for scleral-fixated IOL
Aphakia	9 (17.3%)
Subluxed native lens	8 (15.4%)
Dislocated IOL	31 (59.6%)
Complicated cataract surgery	4 (7.7%)
Associated risk factors
Globe trauma	21 (40.4%)
Pseudoexfoliation (PXF)	6 (11.5%)
Combined pars plana vitrectomy (PPV)	46 (88.5%)
Marfan syndrome	2 (3.8%)

Abbreviations: n, number; SD, standard deviation; IOL, intraocular lens.

Table 2 Postoperative Outcomes of All Cases Reviewed. Patient with Hand Motions or Worse Vision Were Excluded from Conversion to LogMAR BCVA

	n (%)	Mean ± SD
Postoperative BCVA		0.26 ± 0.26 (logMAR)
Snellen > 20/200	50 (96.2%)	20/36 (Snellen)
Change in BCVA		−0.44 ± 0.59 (logMAR)^a
Postoperative refractive outcomes
Myopic SE	36 (69.2%)^b
Hyperopic SE	10 (19.2%)
Postoperative complications
Cystoid macular edema (CME)	20 (38.5%)
Resolved	9 (17.3%)
Persistent at last follow-up	11 (21.2%)
Postoperative hypotony	11 (21.2%)
On POD1	10 (19.2%)
On POW1	2 (3.8%)
Ocular hypertension	2 (3.8%)
Corneal edema	3 (5.8%)
Macular hole	1 (1.9%)
IOL dislocation	1 (1.9%)
Vitreous hemorrhage	1 (1.9%)
Wound leak	1 (1.9%)
Conjunctival cyst	1 (1.9%)

Notes: ^aTwo-tailed p < 0.001 comparing mean logMAR postoperative to preoperative BCVA. ^bTwo-tailed p < 0.001 comparing postoperative myopic to hyperopic spherical equivalent.

Abbreviations: n, number; SD, standard deviation; IOL, intraocular lens; BCVA, best-corrected visual acuity; logMAR, logarithm of the minimum angle of resolution; SE, spherical equivalent; POD1, postoperative day 1; POW1, postoperative week 1.

Figure 1 Frequency distribution of the percentage of cases having postoperative refractive outcomes within the stated range of difference between predicted target and actual postoperative spherical equivalent.

Abbreviation: D, diopter.