Haptic curing with endolaser after lens tilt in the Yamane technique

Area of Science:

• Ophthalmology
• Surgical Techniques

Background:

• Transscleral intraocular lens (IOL) fixation, particularly the Yamane technique, is increasingly used for secondary IOL implantation.
• The Zeiss CT Lucia 602 lens has been associated with a higher incidence of IOL tilt when used with the Yamane technique.

Observation:

• A case of significant IOL tilt occurred immediately postoperatively after transscleral fixation of a Zeiss CT Lucia 602 lens using the Yamane technique.
• The patient had previously undergone lens exchange due to a dislocated one-piece IOL causing iris chafing.

Findings:

• The observed IOL tilt was successfully corrected using an 810-nm endoscopic diode laser.
• The endolaser procedure involved melting and reshaping the optic-haptic junction to restore the desired lens orientation.

Implications:

• Endoscopic diode laser treatment offers a novel, non-exchange method for correcting IOL tilt after Yamane fixation.
• This technique may be particularly valuable for managing tilt complications with specific IOL models like the Zeiss CT Lucia 602.