Clinical Ophthalmology (May 2021)
A Modified Flanged Intrascleral Intraocular Lens Fixation Technique Using an Externalized Needle for Haptic Docking
Abstract
Cristos Ifantides,1,2 Steven M Naids,3 Danson V Muttuvelu,4 Shahzad I Mian,5 Karen L Christopher1,6 1Department of Ophthalmology, Sue Anschutz-Rodgers Eye Center, University of Colorado School of Medicine, Aurora, CO, USA; 2Department of Surgery, Denver Health Medical Center, Denver, CO, USA; 3Advanced Vision Care, Los Angeles, CA, USA; 4Aarhus University Hospital, Aarhus, Denmark; 5Department of Ophthalmology and Visual Sciences, W. K. Kellogg Eye Center, University of Michigan, Ann Arbor, MI, USA; 6Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, CO, USACorrespondence: Cristos IfantidesDepartment of Ophthalmology, Sue Anschutz-Rodgers Eye Center, University of Colorado, 1675 Aurora Court, F731, Aurora, CO, 80045, USAEmail [email protected]: The Yamane intrascleral flanged haptic fixation technique has obviated the need for resources such as suture or glue. However, intraocular maneuvers to properly dock haptics into the needles for externalization can be difficult for even adept eye surgeons and is especially difficult when visualization through the cornea is poor. Additionally, one traditional resource, intraocular forceps, has been critical in both the original technique and proposed modifications since its inception. We describe a modified flanged intrascleral intraocular lens fixation technique by docking the second haptic externally at the main corneal incision. This technique does not require the use of microforceps, which is advantageous to surgeons who lack access to specialized instrumentation. Additionally, this technique may provide added safety, visibility, and ease for surgeons by docking the haptic externally at the corneal incision rather than within the eye.Keywords: secondary lens, secondary IOL, Yamane, haptic fixation, scleral fixation, cataract surgery, aphakia
