A Modified Flanged Intrascleral Intraocular Lens Fixation Technique Using an Externalized Needle for Haptic Docking

Area of Science:

• Ophthalmology
• Surgical Techniques
• Intraocular Lens Implantation

Background:

• The Yamane intrascleral flanged haptic fixation technique avoids sutures and glue for intraocular lens (IOL) fixation.
• However, docking haptics internally can be challenging, especially with poor corneal visualization.
• Intraocular forceps are traditionally required for this maneuver.

Purpose of the Study:

• To describe a modified Yamane technique for IOL fixation.
• To simplify the haptic docking procedure.
• To eliminate the need for intraocular forceps.

Main Methods:

• A modified flanged intrascleral IOL fixation technique is presented.
• The second haptic is docked externally at the main corneal incision.
• This modification avoids the need for intraocular forceps.

Main Results:

• The described technique simplifies the externalization of the IOL haptic.
• It eliminates the requirement for specialized intraocular microforceps.
• Potential benefits include enhanced safety, visibility, and ease of procedure.

Conclusions:

• This modified technique offers a viable alternative for intrascleral IOL fixation.
• It is particularly advantageous for surgeons with limited access to specialized instrumentation.
• The external docking approach may improve surgical outcomes and accessibility.