Comparing Refractive Outcomes of Secondary Lens Surgery between Ophthalmology Subspecialties in Patients with Good Final Vision

Purpose: The study compares refractive outcomes of secondary intraocular lens (SIOL) surgery performed by vitreoretinal, anterior segment, and both surgeons. Methods: Eyes included in this study underwent SIOLfrom 2012-2024and had a final post-operative visual acuity of 20/50 or better Regression analysis compared refractive outcomes and chi squared analysis compared complications between subspecialty of SIOL surgeon. Results: 94, 104, and 80 eyes were included in the retina surgeon, anterior segment surgeon, and combo surgeon cohorts respectively. There was no significant difference in error between target and final post-op spherical equivalence (SE) between retina and combo (p= 0.079), retina and anterior segment (p=0.135), or anterior segment and combo cohorts (p=0.567). There was no significant difference in number of eyes with final SE within 1 diopter of target SE between retina and combo (p=0.136), retina and anterior segment (p=0.061), or anterior segment and combo cohorts (p=0.783). The retina cohort had higher post-operative corneal edema than the combo (p=0.017) and the anterior segment cohorts (p=0.035). The combo cohort had more post-operative retinal detachment than the anterior segment cohort (p=0.046). Conclusion: In eyes with good visual final vision, retina and anterior segment surgeons have similar refractive outcomes following SIOL surgery.