Yamane Trans-Scleral Fixation Technique for Novice Surgeons

This video describes the common pitfalls encountered by many surgeons during completion of the Yamane technique and gathered surgical pearls learned through these experiences to overcome these pitfalls. Engaging the leading haptic of the IOL with the needle during IOL injection minimizes manipulation needed to engage the first haptic. Using the length of the bevel as a cue to begin rotating the needle during scleral tunnel creation improves centration. Correctly aligning the scleral entry points 180 degrees away, so the line between them bisects the pupil, improves IOL centration. Maintaining a 20- to 30-degree angle of scleral entry with the needle head ensures final IOL stability and centration. Familiarity with surgical techniques to overcome common pitfalls of the Yamane technique can improve surgeon outcomes.