Facilitated trailing haptic externalization technique for intrascleral intraocular lens fixation
1Ophthalmology Department, 590009Konyagoz Eye Hospital, Konya, Turkey.
European Journal of Ophthalmology
|September 8, 2022
Summary
This study introduces a new facilitated trailing haptic externalization technique for intrascleral intraocular lens (IOL) fixation, simplifying the Yamane technique. The method proved safe and effective, with no major complications in 65 eyes.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Intraocular Lens Implantation
Background:
- Intrascleral intraocular lens (IOL) fixation is crucial for aphakic eyes.
- The Yamane technique, while effective, presents surgical challenges.
- A simplified and safer method for IOL fixation is needed.
Purpose of the Study:
- To describe and evaluate the facilitated trailing haptic externalization technique.
- To demonstrate its safety and efficacy in intrascleral IOL fixation.
- To offer a simpler alternative to existing methods.
Main Methods:
- The technique involves straightening the trailing haptic tip with forceps.
- The IOL optic is guided towards the scleral tunnel using a needle.
- The haptic is then gently placed into the lumen with forceps.
Main Results:
- The technique was successfully applied in 65 eyes of 58 patients.
- No intraoperative complications like endothelial touch or vitreous loss occurred.
- Postoperative outcomes were favorable, with minimal anterior chamber reaction and no IOL-related issues.
Conclusions:
- The facilitated trailing haptic externalization technique is safe, simple, and minimally invasive.
- It effectively addresses surgical difficulties associated with the Yamane technique.
- This method offers a promising approach for intrascleral IOL fixation.
