Surgical Outcomes Of Yamane Intrascleral Lens Fixation Technique In Pediatric Patients

Evaluation of surgery outcomes and complications following Yamane intrascleral fixation technique, in pediatric age group with insufficient capsular support.

Eleven eyes of 7 pediatric patients aged between 3-12 years, who underwent IOL implantation with the Yamane technique performed by the same surgeon in Ege University Hospital with the follow-up period of at least 12 months were included in the study.

 Demographic characteristics of the cases, their age at surgery, the purpose of surgery, accompanying pathologies, ophthalmological examination results before and after surgery, and complications encountered were examined retrospectively.

The mean age of the 7 patients at the time of surgery was 6.5±3.2 years, the mean follow-up period was 1.81±0.94 years. Yamane technique was performed in 5 cases due to Marfan syndrome related lens subluxation, 1 patient due to traumatic cataract, and 1 patient due to surgical aphakia. In the preoperative evaluation, the visual acuity (VA) could be evaluated preoperatively in 4 patients (mean 0,6 ± 0.82 LogMar) and postoperatively in 5 cases (mean 0.3 ± 0.65 LogMAR). In the postoperative early period, inflammatory membrane formation developed in 2 patients, which regressed with topical treatment. No additional complication, glaucoma or IOL decentralization problem was observed in the early or late post operative period.

In pediatric cases with deficient capsular support, the Yamane intrascleral fixation technique could be considered among the secondary IOL implantation techniques. The Yamane technique has taken its place in clinical practice as a safe and effective method, with increasing frequency in pediatric cases.