Surgical Technique for Sutureless Intrascleral Fixation of a 3-Piece Intraocular Lens Using a 30-Gauge Needle

Modified Flanged Intrascleral Fixation of Intraocular Lens for Vitreoretinal Surgeons

“…Bonnell et al recently published their technique where the second haptic was docked to the needle within the posterior segment. 5 The main purpose of this modification was to allow the surgeon to place the second haptic more reliably and avoid uncontrolled needle use in the anterior chamber. This technique requires removal of the dislocated intraocular lens and insertion of a new lens in all cases.…”

Sekundäre Linsenimplantation: chirurgische Techniken und Ergebnisse

“…Haptik zunächst in den Glaskörperraum ein-Abb. 4 "Iris optic capture" nach intraskleraler IOL-Implantation nach Yamane review geführt wurde, um dann in die zweite 27-Gauge-Nadel eingeführt zu werden [62].…”

Navigating the Options for the Treatment of Intraocular Lens Malposition

“…Various transconjunctival sutureless scleral-fixated IOL approaches 3 are minimally invasive and very efficient in eyes that require a secondary IOL or an IOL exchange. For these situations, we prefer to utilize a modified version of the Yamane approach, 4 which allows the procedure to be more reliable and easier to In this approach, we secure the leading haptic in the intrascleral tunnel immediately after needle docking by removing the 30-gauge needle and thermally deforming the tip of the haptic prior to repeating the process on the trailing haptic ( Figure 1). In that way, the first 30-gauge needle is not left in the eye unattended, perhaps reducing risk of inadvertent injury and assuring that the first haptic will not slip out of the intrascleral tunnel while docking the second.…”