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Comparison of Two Different Intraocular Lenses Used in the Modified Yamane Technique
1Department of Ophthalmology, Yozgat City Hospital, Yozgat, Turkey.
Journal of Cataract and Refractive Surgery
|August 8, 2025
Summary
This study compared two intraocular lenses (IOLs) in the modified Yamane technique, finding both safe and effective for aphakia and subluxated IOLs. Refractive outcomes varied, suggesting IOL-specific adjustments may be needed for emmetropia.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Biomaterials Science
Background:
- The modified Yamane technique offers a solution for complex cases like aphakia and dislocated intraocular lenses (IOLs).
- Evaluating different IOLs within this technique is crucial for optimizing patient outcomes.
- Polymethylmethacrylate (PMMA) haptic IOLs are commonly used in such complex reconstructions.
Purpose of the Study:
- To compare the efficacy and safety of Alcon MA60AC and Sensar AR40e IOLs in the modified Yamane technique.
- To assess visual acuity and refractive outcomes following the procedure.
- To identify potential complications associated with each IOL type.
Main Methods:
- A retrospective study involving 50 patients divided into two groups (n=25 each) receiving either Alcon MA60AC or Sensar AR40e IOLs.
- Surgical indications included aphakia and subluxated single-piece IOLs.
- Patients were evaluated preoperatively and at six months postoperatively for complications, visual acuity, and refractive outcomes.
Main Results:
- Both IOL groups showed significant improvements in visual acuity (p<0.05).
- Spherical refractive values differed significantly at six months (Group A: +0.75±0.48D, Group S: -0.56±0.49D, p=0.01).
- Deviation from target refraction was notably less in Group S (0.65±1.54D) compared to Group A (1.71±1.35D) (p<0.001).
Conclusions:
- The modified Yamane technique is effective and safe with PMMA haptic IOLs.
- Significant differences in refractive outcomes were observed between the two IOLs.
- Tailoring IOL selection or surgical targets may be necessary to achieve emmetropia with specific IOLs.
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