Re-fixation of a previously implanted intraocular lens using the Yamane technique

Refixation of a previously implanted intraocular lens using the Yamane technique Refixation of a previously implanted intraocular lens (IOL) using the Yamane technique.

The patient had previously undergone implantation of a three-piece IOL; however, the lens became displaced and decentered. The patient complained of poor vision; despite a recent surgery, there was no improvement, prompting him to seek a consultation.

Visual acuity: 2/20 in the right eye; 16/20 in the left eye.

Intraocular pressure: 12/13 mmHg.

Eye position: Physiologically normal; full range of motion without restriction. Scleral vessels: Unremarkable. Sclera white; no tenderness.

Anterior segment: Cornea clear, smooth, and lustrous; no opacities detected. Anterior chamber of moderate depth; aqueous humor clear; subatrophic iris; pseudophakia; IOL position decentered (inferior to the visual axis).

Fundus: Pale pink fundus reflex. Optic disc pale pink with distinct margins; vascular bundle visualized centrally; artery-to-vein ratio 2:3.

Visual fields: Full.

Admission diagnosis: IOL dislocation (right eye), pseudophakia (right eye). Clinical diagnosis: IOL dislocation (right eye), pseudophakia (right eye).

Repeat surgery on the right eye recommended.

Following the examination, I scheduled IOL repositioning using the Yamane technique. During the procedure, it was found that one haptic was positioned correctly, while the other was not. I decided to transect the malpositioned haptic and secure it in the proper position.

Postoperative status: Satisfactory. The eye is quiet; mixed scleral injection is present. Iris subatrophy is noted. Pupil size is 6 mm; the artificial lens is visible within the pupillary area. The IOL is centrally positioned.

One-week follow-up: Satisfactory condition with positive progress. The eye is quiet; mixed scleral injection is present. Iris subatrophy is noted. Pupil size is 6 mm; the artificial lens is visible within the pupillary area. The IOL is centrally positioned.

Visual acuity in the right eye was 14/20; intraocular pressure was 12.6/13.1.

Dr. Mehmet Erzen is an ophthalmologist from Turkey with 13 years of professional experience in the field of ophthalmology. Throughout his career, he has performed more than 10,000 surgeries and gained valuable clinical experience in both Turkey and Kazakhstan.

Currently based in Aydın, Turkey, Dr. Erzen continues to practice ophthalmology and is dedicated to providing quality eye care and surgical treatment to his patients.