Timing of the modified yamane technique in complicated cataract surgery: same session or second session?
1Department of Ophthalmology, Yozgat City Hospital, Erdoğan Akdağ Mah, Viyana Cad., Merkez, 66100, Yozgat, Turkey. mehmet_eses_16@hotmail.com.
International Ophthalmology
|May 19, 2025
Summary
The modified Yamane technique (MYT) for complicated cataract surgery provides similar visual outcomes whether performed during the initial surgery or as a secondary procedure. Early complications were more common when MYT was done concurrently.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Cataract Surgery
Background:
- Complicated cataract surgery often involves loss of capsular support, necessitating advanced techniques for intraocular lens (IOL) fixation.
- The modified Yamane technique (MYT) is an established method for IOL fixation in such challenging cases.
Purpose of the Study:
- To evaluate the optimal timing for performing the modified Yamane technique (MYT) in cataract surgeries complicated by loss of capsular support.
- To compare outcomes between performing MYT during primary cataract surgery versus a secondary procedure.
Main Methods:
- A retrospective study involving 41 eyes of 41 patients who underwent MYT for complicated cataract surgery.
- Patients were divided into two groups: Group P (n=12) who had MYT during primary surgery, and Group S (n=29) who had MYT in a secondary session.
- Preoperative and postoperative ophthalmological findings were analyzed for both groups.
Main Results:
- No significant differences in visual acuity, refraction, or intraocular pressure were found at six months postoperatively between Group P and Group S.
- Central macular thickness was significantly lower in Group S (254±11 microns) compared to Group P (274±18 microns) (p=0.02).
- Early postoperative complications (e.g., cystoid macular edema, increased intraocular pressure) were more frequent in Group P (16.6%) than in Group S (3.4%). No late complications were observed in either group.
Conclusions:
- The modified Yamane technique (MYT) yields comparable visual and refractive outcomes regardless of whether it's performed during primary cataract surgery or as a secondary procedure.
- While early postoperative complications were more prevalent in the same-session group, the long-term safety profile of MYT appears consistent for both timing approaches.
- MYT is a viable option for managing complex cataracts with lost capsular support, with timing influenced by potential early complication rates.
