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Clinical outcomes of 27-gauge needle-guided flanged intrascleral haptic fixation using the yamane technique in
Alper Can Yilmaz1, Mevlut Yilmaz2
1Department of Ophthalmology, Gulhane Faculty of Medicine, University of Health Sciences, Ankara, Turkey. dralpercnylmz@icloud.com.
Purpose:
To describe the clinical outcomes and complications of intrascleral haptic fixation using the Yamane technique in patients with aphakia and intraocular lens (IOL) dislocation.
Methods:
This study retrospectively examined 37 eyes of 37 patients who underwent Yamane surgery for aphakia or a dislocated IOL at a tertiary teaching hospital and had a follow-up period longer than 6 months. Demographic data, Yamane indication, ocular comorbidities, and additional surgical procedures performed were recorded. Preoperative and postoperative distance visual acuity (VA), refractive results, intraocular pressure (IOP), central macular thickness measurements, and postoperative complications were recorded.
Results:
The mean age of the patients was 68.5 ± 13.1 years, and the mean follow-up period was 9.05 ± 3.36 months. The Yamane indication was aphakia in 24 (64.9%) patients and IOL dislocation in 13 (35.1%) patients. Anterior vitrectomy was performed in 19 patients (51.4%), capsular tension ring extraction in 2 patients (5.4%), IOL extraction in 7 patients (19.0%), and pars plana vitrectomy in 8 patients (21.6%). The mean subjective refraction improved from 8.70 ± 4.83 to -1.36 ± 0.41 diopter (D) at the final visit (p = 0.001). The mean cylindrical refraction was - 1.41 ± 1.05 D in the postoperative period. The mean best corrected VA improved from 0.53 ± 0.22 to 0.15 ± 0.09 logMAR (p = 0.001). Postoperatively, corneal edema was observed in two patients (5.4%), cystoid macular edema in two patients (5.4%), epiretinal membrane in two patients (5.4%), hypotony in one patient (2.7%), elevated IOP in two patients (5.4%), and iris capture of IOL in one patient (2.7%).
Conclusion:
The Yamane technique has provided favorable visual and refractive outcomes with manageable postoperative complications in patients with aphakia and IOL dislocation, including complex cases requiring additional intervention such as vitreoretinal surgery.
