This video will present the Rescue of a Surgery That Developed Complications While Applying The Yamane Intrascleral Haptic Fixation Technique.
Yamane’s technique was planned for this aphakic case. The patient has pupillary margin distortion due to previous operations. The junior surgeon performed the first part of the operation. When complications developed, the senior surgeon took over the operation. The senior surgeon is Mehmet İçöz.
The junior surgeon started the surgery. The anterior chamber maintainer was instilled. In the first part, the scleral tunnel was planned from the 3 and 9 o’clock quadrants. The first haptic was removed from the scleral tunnel and a flange was created. However, when the second haptic was taken into the anterior chamber, it was seen that the first one was coming out of the scleral tunnel. After this stage, the senior surgeon continued to perform the surgery. The old first haptic was removed from the anterior chamber and the flange was cut. Then this haptic was used as the new second haptic. Considering that the old scleral tunnel cannot be used again, new markings were made on the 1 and 7 o’clock quadrants. After the new first haptic was taken out of the scleral tunnel, a piece was cut from its tip so that its size would be the same as the other haptic. The surgery was subsequently completed without any additional complications.
The following publication states that the success of surgeries performed with clipped trimmed is no different from other surgeries.
“Lin H, Ye X, Huang X, Li H, Wang Z, Niu Y, Bi Y. Long-Term Stability of Intraocular Lens with Trimmed or Untrimmed Haptics in Yamane Sutureless Intrascleral Fixation Technique. Med Sci Monit. 2021 Mar 11;27:e928868.”
The YouTube video provides a detailed explanation of the surgery (click here to watch the video).
Credit: Mehmet İçöz, MD
Yozgat Şehir Hastanesi, Türkiye
Instagram Account: @op.dr.mehmeticoz
Caption editing: M. Giray Ersoz, MD, FEBO
Biruni University School of Medicine, Department of Ophthalmology, Istanbul, Turkey
Instagram accounts: @retina.review and @retina.dr.girayersoz