PMC8180264_01
(A) scleral fixation using Yamane technique, (B) securing the haptics with cautery, (C) haptics trimming, (D) placing haptics in the scleral tunnel.
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Using the Yamane technique (Figure 1A), a scleral fixated IOL was implanted in the right eye. Cautery was applied to secure the haptics (Figure 1B). Two milliliters of each haptic were trimmed (Figure 1C), and cautery was used again to form a button-like tip at the end of each haptic. The haptics were placed in the scleral tunnel using gentle manipulation (Figure 1D), and centration of the IOL was achieved.
(A) scleral fixation using fibrin glue, (B) introducing IOL into the sulcus and externalizing the haptics through the flap, (C) haptics trimming, (D) scleral flaps and conjunctiva closed using fibrin glue.
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Using retinal forceps, haptics were grasped and externalized under scleral flaps (Figure 2B). Trimmed haptics were tucked into the scleral tunnels made at the point of haptic externalization (Figure 2C), and scleral flaps and conjunctiva were closed using fibrin glue (Figure 2D).
Postoperative anterior segment photos of the (A) right and (B) left eye.
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One year postoperatively (Figures 3 and 4), the patient achieved uncorrected visual acuity of 20/30 in the right eye and 20/40 in the left eye.
Ultrasound biomicroscopy of the (A) right and (B) left eye one year postoperatively.
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One year postoperatively (Figures 3 and 4), the patient achieved uncorrected visual acuity of 20/30 in the right eye and 20/40 in the left eye.