How do you decide which secondary IOL to place in an aphakic eye?  

I am a fan of scleral fixated IOLs as they can be inserted through a smaller corneal incision than ACIOLs, they present less risk when it comes to corneal decompensation and glaucoma, and have predictable refractive outcomes. I personally use a modified needle-assisted Yamane technique for my second...

Although the majority of lenses I put in are scleral sutured, I have certainly done iris fixated, non-sutured scleral (Yamane), and ACIOLs. Several years ago, as the popularity of ACIOLs declined and the posterior alternatives became more prevalent, I had a conversation with my partner at the time (...