Modified Yamane Technique for Scleral Fixation of Dislocated IOL

Drs. Michael Cohen and Chirag Shah demonstrate their modified Yamane technique for managing a dislocated 3-piece IOL that had previously been placed into the sulcus of a 61-year-old man. The surgeons use 27-gauge trocars combined with both 25-gauge and 27-gauge forceps to fixate the lens to the sclera. Trocars are used to create tunnels in the direction that the haptics are externalized to achieve proper positioning. After retrieving the lens with 25-gauge forceps, 27-gauge Maxgrip forceps are inserted through the inferior cannula. A hand-over-hand technique is used to carefully secure the tip of the haptic in the mouth of the 27-gauge forceps, which is then externalized. High-temp cautery is used to create a small bulb on the tip of the haptic. The authors recommend avoiding dilation until the patients' post-operative 1-month visit. The patient featured in this video expressed satisfaction with the result and regained 20/25 visual acuity on the first postoperative day.

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