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    Pearls for the Yamane Technique - Retina Today

    By Brandon D. Ayres, MD Pseudoexfoliation syndrome is one of the most common reasons for lens dislocation during cataract surgery. For such cases, and for eyes in which capsular support is absent, multiple IOL fixation techniques have been used over the years. In my practice, we have transitioned from suture techniques to an elegant sutureless hapt...

    Retina Today

    By Zaina Al-Mohtaseb, MD The small-incision, sutureless, transconjunctival scleral fixation technique first described by Yamane et al1for use in eyes with absence of capsular support involves the creation of small-gauge sclerotomies and a small clear corneal incision, resulting in a fast visual recovery and a low risk of postoperative hypotony. A f...

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    By Steven G. Safran, MD For me, the most important aspects of the Yamane technique are ensuring an adequate vitrectomy and placing an infusion cannula. I always use a trocar and perform a pars plana vitrectomy when performing the Yamane technique. The vitrectomy is essential because I am going to be maneuvering behind the iris, and I don’t want to ...

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    By Manjool Shah, MD As a glaucoma and complex anterior segment specialist, I am aware that some IOL fixation techniques can cause real problems. Specifically capsule-independent IOL fixation runs the risk of resulting in uveitis-glaucoma-hyphema (UGH) syndrome, which is purely iatrogenic. When the eye is marked for needle passes, one often measures...

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