Intrascleral haptic needle fixation of 20+-year-old dislocated intraocular lenses using trailing-haptic-first modification

Abstract

Introduction: Repositioning and scleral fixation of 20+-year-old dislocated intraocular lenses (IOLs) was performed using the trailing-haptic-first modification of the Yamane technique. Patient and Clinical Findings: 2 separate patients presented with late dislocation of their 3-piece IOLs, and the original surgeries were performed over 20 years ago. 1 patient had a Rezoom IOL and the other had an SI30 IOL. Diagnosis, Intervention, and Outcomes: The 2 patients underwent successful repositioning of the existing IOLs using the trailing-haptic-first modification of the Yamane technique. Both had good refractive outcomes without complication. Conclusions: To the authors' knowledge, these are the first cases reported of using 20+-year-old dislocated IOLs for successful intrascleral haptic needle fixation with the trailing-haptic-first modification of the Yamane technique. Surgeons should consider IOL repositioning with intrascleral haptic needle fixation instead of explantation for an easier and less-invasive approach.