This post will present Yamane Intrascleral Haptic Fixation Technique From A Vitreoretinal Surgeon’s Perspective.
This is an 88-year-old female patient whose left vision has been decreasing for the last five months. She has a history of bilateral uncomplicated cataract surgery and left trabeculectomy surgery. Despite the trabeculectomy, the left eye’s IOP was 28 mmHg, and a subluxated PC-IOL was also seen in the left eye.
The surgeon preferred to perform the surgery together with pars plana vitrectomy. Why?
1. It is not possible to completely clean the capsule and cortex residues around the IOL under a small pupil. In this way, the pieces can fall down.
2. To check the retina for tears with 360-degree depression.
3. In addition, the remaining vitreous residues around the IOL can cause the IOL to tilt.
4. The infusion line acts as an AC maintenance device.
Credit: M. Giray Ersoz, MD, FEBO
Biruni University School of Medicine, Department of Ophthalmology, Istanbul, Turkey
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