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Published on: May 5, 2022
Surgical outcomes of Yamane intrascleral lens fixation technique in pediatric patients
Pelin Akçay1, Cumali Değirmenci1, Elif Demirkilinc Biler1
1Ege University Faculty of Medicine Ophthalmology Department, Bornova İzmir.
Purpose:
To report the outcomes and complications of Yamane intrascleral IOL fixation surgery in a cohort of pediatric patients with inadequate capsular support.
Methods:
The medical records of patients who underwent IOL implantation using the Yamane technique, with a minimum follow-up of 1 year, were reviewed retrospectively. Demographic data, patient age at time of surgery, accompanying pathologies, detailed ophthalmological examination findings, and complications were analyzed.
Results:
A total of 11 eyes of 7 patients (5 females) were included. Mean age at time of surgery was 6.5 ± 3.2 years, with mean follow-up of 1.81 ± 0.94 years. The Yamane technique was performed in 5 cases for Marfan syndrome-related lens subluxation, in 1 patient for traumatic cataract, and in 1 because of surgical aphakia. The preoperative median best-corrected visual acuity was 0.70 logMAR (IQR, 0.30-1.00) in 4 patients, while fix-and-follow was the only measurable parameter in 3 patients before surgery. Postoperatively, median visual acuity improved to 0.40 logMAR (IQR, 0.22-0.52; P = 0.04), and the IOL was observed to be centrally positioned in all eyes over long-term follow-up. Early postoperative inflammatory membranes occurred in 2 patients and resolved; no further complications were observed during follow-up.
Conclusions:
In our small cohort of pediatric cases with inadequate capsular support, the Yamane technique resulted in good long-term outcomes, with few complications.
