Iol Subluxation And Glaucoma: Yamane Technique Associated With Xen Implantation. Report Of 2 Cases
Published 2023 - 41st Congress of the ESCRS
Reference: PO0030 | Type: Case report | DOI: 10.82333/vga9-e426
Authors: María Jesús Quiroz-Quiroga 1 , Jorge Armentia Perez de Mendiola 2 , Ester Puig Lao 3 , Pablo Marti Rodrigo* 2 , Anna Matheu Fabra 4
1Glaucoma,Consorci Parc de Salut Mar,Barcelona,Spain, 2Cornea,Consorci Parc de Salut Mar,Barcelona,Spain, 3Ophthalmology,Consorci Parc de Salut Mar,Barcelona,Spain, 4Neurophthalmology,Consorci Parc de Salut Mar,Barcelona,Spain
The objective of this work is to present two clinical cases of secondary IOL implantation with the Yamane technique associated with XEN implant
Management of aphakia or subluxation of the sac-lens complex can frequently be associated with glaucoma. One of the newest and most popular techniques for aphakia management is Shin Yamane’s, which allows scleral fixation of the intraocular lens (IOL) without sutures, by flanges. On the other hand, the minimally invasive procedures (MIGS) have revolutionized the glaucoma treatment, made it possible to perform surgeries that are more respectful with tissues
Case 1: A 70-year-old patient, high myopic, aphakic, with Urrets Zavalia syndrome, corneal decompensation and secondary glaucoma on maximum tolerated treatment.
Case 2: 86-year-old patient with pseudoexfoliative glaucoma and late subluxation of the sac-lens complex under maximum tolerated treatment.
Both patients underwent secondary IOL fi fixation with the Yamane technique associated with a superonasal XEN implant and mitomycin C 0,01%.
At 8 and 5 month follow-up respectively, both patients have controlled intraocular pressure and have recovered their potencial visual acuity.
The cumulative incidence of IOL subluxation is up to 3%. The most important risk factors are pseudoexfoliation (78.9%) and myopia (5.8%), both strongly associated with glaucoma.
Increasingly, with the aging of the population, both pathologies can be frequently associated. It seems that the combination of the Yamane IOL fixation and XEN implant can be a safe and efficient approach to treatment for IOL luxation and glaucoma.
To our knowledge, this is the first report of the association of both techniques.