Intraoperative Event Mechanisms During the Early Adoption of Yamane Flanged Intrascleral Intraocular Lens (IOL) Fixation: Insights From Surgical Video Review
Sindy B Sembiring, Stefenie Stefenie, Jessica Zarwan · 2026
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Description
Sindy Sembiring, Stefenie Stefenie, and Jessica Zarwan review surgical videos to learn what goes wrong when surgeons first adopt a lens-fixation technique. The Yamane method anchors an artificial lens inside the eye wall with tiny flanges, avoiding stitches. The team studied one surgeon's first twenty-four eyes over four months, with every operation recorded. A non-operating co-author reviewed the tapes against a step-by-step checklist.
Problems arose in a third of the eyes. Most often, a tiny lens leg slipped or came loose, usually at the moment the surgeon let go of the leading leg. Short threading and twisting forces during docking were the main culprits. Nearly all problems were fixed during the same operation by repositioning or re-threading. Vision improved on average after surgery. The authors say the checklist gives mentors a shared language for coaching new adopters.
Catalog record
| CREATOR | Sindy B Sembiring, Stefenie Stefenie, Jessica Zarwan |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 25 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |