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Sutured · scleral-fixated · combined cases

Secondary IOL — vision after the lens capsule has failed.

When the natural lens capsule is missing or damaged (after trauma, complicated cataract surgery, or congenital absence), a standard IOL has nothing to anchor to. Secondary IOL techniques — scleral fixation, glued IOL, iris-claw — restore good vision in eyes that would otherwise need contact lenses or be left aphakic.

Secondary IOL Implantation with Dr. Ahmed Shaarawy — Shaarawy Cornea Clinic

Why choose us

International standard. Regional access.

Yamane technique trained

The modern Yamane scleral fixation technique gives the best long-term stability with no sutures to break. Few centers in the region offer it routinely.

Cornea + iris + lens together

Most secondary IOL cases also need cornea or iris work. Dr. Shaarawy handles all three structures in a single combined OR visit.

Right technique for your anatomy

Iris-claw is fast but needs intact iris. Scleral fixation is stable but more demanding. We pick the technique based on your specific anatomy, not a one-size approach.

Quality IOLs with full traceability

Original IOLs from Alcon, Carl Zeiss, J&J, and specialty Carlevale lenses for scleral fixation. Full chain-of-custody documentation.

Procedures & pricing

Transparent USD pricing.

Final cost is set after clinical examination. Local-currency equivalents available on request. Insurance reports issued for international patients.

ProcedureBest forFrom (USD)
Iris-claw IOL (anterior)Quick technique, simpler anatomy$1,800 $2,500
Iris-fixated IOL (sutured)More stable, demanding technique$2,500 $3,500
Scleral-fixated IOL (Yamane)Modern flanged-haptic technique, no sutures$2,800 $4,000
Glued IOLSutureless scleral fixation with fibrin glue$2,500 $3,800
Combined with cornea + iris repairTrauma cases — single session$5,000 $8,000

Common questions

Frequently asked.

When is secondary IOL needed?
Three main scenarios: (1) aphakia (no lens capsule from prior surgery, trauma, or congenital absence), (2) dislocated IOL that needs replacement / repositioning, (3) failed prior secondary IOL.
Which technique gives the best long-term result?
Scleral fixation with the Yamane flanged-haptic technique is the current gold standard for younger patients and those with iris damage. Iris-claw IOLs are easier to perform but need a healthy iris and have a slightly higher long-term displacement risk.
What's the recovery time?
Useful vision in 1–2 weeks, full stability in 6–12 weeks. The eye is more inflamed than after standard cataract surgery so the steroid drop schedule is more aggressive in the first month.
Can this be combined with cornea or iris repair?
Yes — we usually combine when needed. Trauma rarely affects only the lens. Single OR visit, single anesthesia, single recovery window.

Send your case file for a recommendation.

Secondary IOL planning needs anterior segment OCT, B-scan ultrasound, and the surgical history of the affected eye. Send what you have — we'll respond within 24 hours with the recommended technique and the all-in cost.

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