Extraocular Haptic Redocking and Vitrector-Assisted Posterior Haptic Manipulation as an Intraoperative Rescue for Intraocular Lens Decentration During the Yamane Technique.
- 1Department of Ophthalmology Asahikawa Medical University Asahikawa Hokkaido Japan asahikawa-med.ac.jp.
- 2Department of Ophthalmology Sapporo Medical University Sapporo Hokkaido Japan sapmed.ac.jp.
Abstract
Purpose
The aim of this study is to report extraocular unilateral haptic redocking as an intraoperative rescue for intraocular lens (IOL) decentration during the Yamane technique.Methods
A 51-year-old woman underwent pars plana vitrectomy, explantation of a dislocated posterior chamber IOL, and flanged intrascleral IOL fixation using the Yamane technique. After externalization of both haptics, IOL decentration was observed. One externalized haptic was redocked into the lumen of a 30-gauge needle outside the eye, and the contralateral haptic manipulation was converted to a posterior approach under a wide-angle viewing system. The contralateral haptic was manipulated with the assistance of a vitreous cutter and subsequently inserted into another 30-gauge needle within the vitreous cavity, allowing repositioning of the decentered IOL. At 3 months postoperatively, uncorrected distance visual acuity improved to 20/15, and the IOL remained stable without clinically significant decentration.Conclusion
Extra ocular haptic redocking and vitrector-assisted posterior haptic manipulation may be useful as a rescue technique for intraoperative IOL decentration during the Yamane technique.
Related
- Low Versus High Intraoperative Intraocular Pressure During Phacoemulsification Cataract Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
- Effect of Peripheral Defocus Contact Lens Residual Decentration After Six Months of Wear on the Astigmatic Component in Myopic Children
- Comparison of Treatment Zone Decentration Between VISUMAX 500 and VISUMAX 800 Keratorefractive Lenticule Extraction Using Anterior Segment Optical Coherence Tomography
- Comparative Two-Year Outcomes of Three Different Three-Piece Intraocular Lenses in Flanged Intrascleral Fixation
- Three-Year Functional Vision, Longitudinal Refractive Outcomes, and Patient-Reported Outcomes After Bilateral Implantation of the Extend Bessel-Optics Intraocular Lens: An Independent Real-World Ambispective Study
BibTeX
@article{otsubo2026extraocular,
title = {{Extraocular Haptic Redocking and Vitrector-Assisted Posterior Haptic Manipulation as an Intraoperative Rescue for Intraocular Lens Decentration During the Yamane Technique.}},
author = {Mitsuru Otsubo and Shun Konno and Yoshitaka Takizawa and Ami Konno and Harumasa Yokota and Taiji Nagaoka},
journal = {Case reports in ophthalmological medicine},
year = {2026},
month = oct,
doi = {10.1155/crop/9039544},
url = {https://europepmc.org/article/MED/42903258},
note = {CC BY},
}
RIS
TY - JOUR
TI - Extraocular Haptic Redocking and Vitrector-Assisted Posterior Haptic Manipulation as an Intraoperative Rescue for Intraocular Lens Decentration During the Yamane Technique.
AU - Mitsuru Otsubo
AU - Shun Konno
AU - Yoshitaka Takizawa
AU - Ami Konno
AU - Harumasa Yokota
AU - Taiji Nagaoka
PY - 2026
DA - 2026/10/19
JO - Case reports in ophthalmological medicine
DO - 10.1155/crop/9039544
UR - https://europepmc.org/article/MED/42903258
AB - Purpose The aim of this study is to report extraocular unilateral haptic redocking as an intraoperative rescue for intraocular lens (IOL) decentration during the Yamane technique.Methods A 51-year-old woman underwent pars plana vitrectomy, explantation of a dislocated posterior chamber IOL, and flanged intrascleral IOL fixation using the Yamane technique. After externalization of both haptics, IOL decentration was observed. One externalized haptic was redocked into the lumen of a 30-gauge needle outside the eye, and the contralateral haptic manipulation was converted to a posterior approach under a wide-angle viewing system. The contralateral haptic was manipulated with the assistance of a vitreous cutter and subsequently inserted into another 30-gauge needle within the vitreous cavity, allowing repositioning of the decentered IOL. At 3 months postoperatively, uncorrected distance visual acuity improved to 20/15, and the IOL remained stable without clinically significant decentration.Conclusion Extra ocular haptic redocking and vitrector-assisted posterior haptic manipulation may be useful as a rescue technique for intraoperative IOL decentration during the Yamane technique.
SN - 2090-6722
SN - 2090-6730
ER -