Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2026
Surgical outcomes of Yamane intrascleral lens fixation technique in pediatric patients.
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Akçay Pelin, Değirmenci Cumali, Demirkilinc Biler Elif
Аннотация
PURPOSE: To report the outcomes and complications of Yamane intrascleral IOL fixation surgery in a cohort of pediatric patients with inadequate capsular support.
METHODS: The medical records of patients who underwent IOL implantation using the Yamane technique, with a minimum follow-up of 1 year, were reviewed retrospectively. Demographic data, patient age at time of surgery, accompanying pathologies, detailed ophthalmological examination findings, and complications were analyzed.
RESULTS: A total of 11 eyes of 7 patients (5 females) were included. Mean age at time of surgery was 6.5 ± 3.2 years, with mean follow-up of 1.81 ± 0.94 years. The Yamane technique was performed in 5 cases for Marfan syndrome-related lens subluxation, in 1 patient for traumatic cataract, and in 1 because of surgical aphakia. The preoperative median best-corrected visual acuity was 0.70 logMAR (IQR, 0.30-1.00) in 4 patients, while fix-and-follow was the only measurable parameter in 3 patients before surgery. Postoperatively, median visual acuity improved to 0.40 logMAR (IQR, 0.22-0.52; P = 0.04), and the IOL was observed to be centrally positioned in all eyes over long-term follow-up. Early postoperative inflammatory membranes occurred in 2 patients and resolved; no further complications were observed during follow-up.
CONCLUSIONS: In our small cohort of pediatric cases with inadequate capsular support, the Yamane technique resulted in good long-term outcomes, with few complications.
METHODS: The medical records of patients who underwent IOL implantation using the Yamane technique, with a minimum follow-up of 1 year, were reviewed retrospectively. Demographic data, patient age at time of surgery, accompanying pathologies, detailed ophthalmological examination findings, and complications were analyzed.
RESULTS: A total of 11 eyes of 7 patients (5 females) were included. Mean age at time of surgery was 6.5 ± 3.2 years, with mean follow-up of 1.81 ± 0.94 years. The Yamane technique was performed in 5 cases for Marfan syndrome-related lens subluxation, in 1 patient for traumatic cataract, and in 1 because of surgical aphakia. The preoperative median best-corrected visual acuity was 0.70 logMAR (IQR, 0.30-1.00) in 4 patients, while fix-and-follow was the only measurable parameter in 3 patients before surgery. Postoperatively, median visual acuity improved to 0.40 logMAR (IQR, 0.22-0.52; P = 0.04), and the IOL was observed to be centrally positioned in all eyes over long-term follow-up. Early postoperative inflammatory membranes occurred in 2 patients and resolved; no further complications were observed during follow-up.
CONCLUSIONS: In our small cohort of pediatric cases with inadequate capsular support, the Yamane technique resulted in good long-term outcomes, with few complications.