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Flanged fixation: Yamane technique and its application.

Shin Yamane¹, Arisa Ito²

¹Yamane Eye Clinic.

Current Opinion in Ophthalmology

|November 16, 2020

Summary

The Yamane technique for sutureless intrascleral intraocular lens (IOL) fixation has many variations. Small scleral wounds appear beneficial for long-term IOL stability.

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Area of Science:

Ophthalmology
Surgical Techniques
Intraocular Lens Implantation

Background:

Sutureless intrascleral intraocular lens (IOL) fixation is increasingly popular.
The Yamane technique is a widely adopted method for this procedure.
Numerous variations of the Yamane technique have been reported.

Purpose of the Study:

To review the different variations of the flanged intraocular lens fixation, specifically the Yamane technique.
To analyze the outcomes associated with these variations.

Main Methods:

Systematic review of reported techniques for sutureless intrascleral IOL fixation.
Focus on variations of the Yamane technique, including scleral tunnel creation and needle-haptic docking.
Inclusion of methods for fixing capsule tension segments or irises using flanges.

Main Results:

The Yamane technique has numerous reported variations.
Direct comparative studies of these variations are limited.
Small scleral wounds are suggested to improve long-term IOL stability.

Conclusions:

Variations in the Yamane technique exist, affecting scleral tunnel creation and needle-haptic docking.
While direct comparisons are scarce, smaller scleral wounds may enhance long-term IOL stability.
The flange component of the technique demonstrates versatility, with applications in capsule tension segment and iris fixation.