VT208 : Transconjunctival Intrascleral Intraocular Lens (SFIOL) fixation with modified Yamane’s technique

Dr.HETAL MEHTA KHANDGE, Dr.Aditya Kelkar, Dr. (Mrs.) KELKAR JAI ADITYA, Dr.AKSHAY KOTHARI

We studied thirty-one consecutive patients undergoing SFIOL with the modified Yamane’s technique.Modified Yamane’s technique of transconjunctival intrascleral IOL fixation involved use of 26/27 gauge needle wherein we first externalize one haptic and fix it outside.Also we used Mcphersons forceps to hold the trailing haptic.Visual acuity improved from median of 1.48 logMAR units (IQR=1.3 – 2 logMAR) at baseline to 0.3 logMAR (IQR=0.2 – 0.4 logMAR) at 6weeks (p<0.001) which was maintained at 3 months.There were no significant changes in endothelial cell density (p=0.34) and OCT based macular thickness (p=0.31) at 3 months.Our initial experience suggests that the modified Yamane’s technique for SFIOL is a simple procedure and is independent of scleral flaps, tunnels, sutures and fibrin glue.It has a short learning curve, is a potentially quicker surgery and has faster postoperative recovery with excellent visual outcomes. [arve url="https://youtu.be/2WXzfV4zID0" mode="normal" align="center" /]