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J Clin Med. 2021 Jun 09;10(12). doi: 10.3390/jcm10122562.

Double-Needle Yamane Technique Using Flanged Haptics in Ocular Trauma-A Retrospective Survey of Visual Outcomes and Safety.

Journal of clinical medicine

Katarzyna Nowomiejska, Dariusz Haszcz, Maksymilian Onyszkiewicz, Tomasz Choragiewicz, Aleksandra Czarnek-Chudzik, Agata Szpringer-Wabicz, Katarzyna Baltaziak, Agnieszka Brzozowska, Mario Damiano Toro, Robert Rejdak

Affiliations

  1. Chair and Department of General and Pediatric Ophthalmology, Medical University of Lublin, 20-059 Lublin, Poland.
  2. Department of Mathematics and Medical Biostatistics, Medical University of Lublin, 20-059 Lublin, Poland.
  3. Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszy?ski University, 01-815 Warsaw, Poland.

PMID: 34207903 PMCID: PMC8228832 DOI: 10.3390/jcm10122562

Abstract

To evaluate visual outcomes and safety of the double-needle technique using flanged haptics (Yamane technique) in patients with aphakia caused by ocular trauma at a trauma referral center. Retrospective: Consecutive interventional case series of 30 patients who underwent the Yamane technique due to posttraumatic aphakia. The double-needle technique using flanged haptics was combined with anterior vitrectomy (group A) in 14 patients, and with pars plana vitrectomy (PPV) (group B) due to retinal detachment, nucleus dislocation into the vitreous cavity, or intraocular lens (IOL) displacement in 16 patients. No intraoperative complications were noted. There was significant improvement in the visual acuity in both groups at the second postoperative visit. However, the visual acuity was significantly worse in the group treated with the Yamane technique combined with PPV. Silicone oil tamponade in PPV group was associated with worse visual acuity, whereas post lensectomy status was associated with poor visual function result in the anterior vitrectomy group. There was one case of slight IOL decentration and one retinal detachment during the postoperative follow-up period in the group with PPV. In this case series, the Yamane technique applied in traumatized eyes was found to be an efficacious and safe procedure. Combining the Yamane technique with PPV due to posterior segment ocular trauma was associated with worse functional results in the follow-up at three months. Further studies with longer follow-up evaluations are required to verify long-term complications.

Keywords: anterior segment surgery; intraocular lens (IOL); intraocular lens implantation (IOL implantation); intraocular lens surgery (IOL surgery); ocular trauma surgery; posterior segment; vitrectomy; yamane technique

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