ESCRS - P041 - CLINICAL OUTCOMES OF THE YAMANE TECHNIQUE

CLINICAL OUTCOMES OF THE YAMANE TECHNIQUE

Published 2024 - 28th ESCRS Winter Meeting

Reference: P041 | Type: Presented Poster & Poster | DOI: 10.82333/psvg-2r31

Authors: Miroslav Radivoje Stamenkovic* 1 , Jovan Milic 1 , Marko Popovic 2 , Milos Plavsic 1 , Isidora Janicijevic 3 , Vladimir Milutinovic 4

1Eye Clinic,University Medical Center Zvezdara,Belgrade,Serbia, 2Eye Clinic,University Medical Center Zvezdara,Belgrade,Serbia;University of Belgrade,Medical Faculty ,Belgrade,Serbia, 3University of Belgrade,University Medical Center Zvezdara,Belgrade,Serbia, 4Eye Clinic,University Medical Center Zvezdarater Zvezdaraa,Belgrade,Serbia

Purpose

To report and evaluate outcomes of the double-needle technique for flanged intrascleral posterior chamber intraocular lens (Yamane) fixation.

Setting

Clinic for Eye Disease “Prof. dr Ivan Stankovic” University Medical Center “Zvezdara”.

Methods

Aphakic eyes with absence of adequate capsular support underwent a surgical procedure of flanged intrascleral posterior chamber intraocular lens fixation, the technique that involves externalization of IOL haptics using double 30 gauge needles. A flange was created at the end of each haptic that were then fixed into the scleral tunnel and then covered with conjunctiva. Patients were followed up postoperatively and main outcome measures were monitored: best-corrected visual acuity (BCVA) converted to the logarithm of the minimum angle of resolution (logMAR), final mean refractive error (spherical equivalent and astigmatism), and intra- and post-operative complications.

Results

Overall 37 eyes of 37 patients (52% females, age range from 32 to 71 years) were operated and postoperatively followed with a mean time of 14.1+3.6 weeks. Improvement in visual acuity was registered in all eyes with a mean BCVA of 0.22+0.09 logMAR at the end of the follow up. Mean spherical equivalent was − 1.28 ± 1.75 D and median astigmatic error was −1.50 D cylinder (range from −0.75 to −2.0D). No intraoperative complications were registered and postoperatively all IOLs remained stable and well centered. None of the eyes had scleral necrosis, cistoid macular edema, retinal detachment or endophthalmitis. 

Conclusion

TheYamane technique is an elegant technique for IOL fixation. It is a simple and minimally invasive method for achieving good IOL and haptic fixation and also excellent postoperative visual results.