ArticleRetina (Philadelphia, Pa.)2019
27-GAUGE SUTURELESS INTRASCLERAL FIXATION OF INTRAOCULAR LENSES WITH HAPTIC FLANGING: Short-Term Clinical Outcomes and a Disinsertion Force Study.
Article in Retina (Philadelphia, Pa.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
21 citing papers in PubMed, 45 citations in OpenAlex.
- Standardizing the Yamane flanged intrascleral haptic fixation: A framework for efficacy, complication mitigation, and reproducible training.World journal of methodology · 2026Review
- Needle bevel-guided standardisation of scleral tunnel formation in intrascleral haptic fixation: a quantitative geometric analysis.BMC ophthalmology · 2026Article
- Clinical outcomes of 27-gauge needle-guided flanged intrascleral haptic fixation using the yamane technique in various indications.BMC ophthalmology · 2026Article
- [Correction of aphakia in cases of insufficient capsular bag stability].Die Ophthalmologie · 2024Review
- Clinical Outcomes in Scleral Fixation Secondary Intraocular Lens with Yamane versus Suture Techniques: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2024Review
- Dislocation force of scleral flange-fixated intraocular lens haptics.BMC ophthalmology · 2024Article
- Visual Outcomes, Endothelial Loss, and Complications Following Iris-Claw Intraocular Lens Implantation and Trocar-Assisted Sutureless Scleral Fixation of Intraocular Lenses.Beyoglu eye journal · 2023Article
- Intraocular Lens Formula Comparison of Flanged Intrascleral Intraocular Lens Fixation with Double Needle Technique.Clinical ophthalmology (Auckland, N.Z.) · 2023Article
- Scleral-fixated intraocular lens implants-evolution of surgical techniques and future developments.Eye (London, England) · 2021Review
- Biomechanical Testing of Flanged Polypropylene Sutures in Scleral Fixation.American journal of ophthalmology · 2021Article
- A Biomechanical Study of Flanged Intrascleral Haptic Fixation of Three-Piece Intraocular Lenses.American journal of ophthalmology · 2021Article
- Short-term outcomes of a modified technique for small-incision scleral-fixated intraocular lens implantation using Gore-Tex sutures.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021Article
- Outcomes of sutureless secondary intraocular lens fixation with haptic flanging in a cohort of surgically complex eyes.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021Article
- A Modified Flanged Intrascleral Intraocular Lens Fixation Technique Using an Externalized Needle for Haptic Docking.Clinical ophthalmology (Auckland, N.Z.) · 2021Article
- Sutureless Scleral Fixated IOL: The "Catcher Pole" Technique.Clinical ophthalmology (Auckland, N.Z.) · 2021Article
- Evaluation of the Findings of Patients Who Underwent Sutureless Flanged Transconjunctival Intrascleral Intraocular Lens Implantation with or without Pars Plana Vitrectomy.Journal of ophthalmology · 2021Article
- Scleral Fixation of Single-Piece Foldable IOL Using Double-Flanged Technique.Clinical ophthalmology (Auckland, N.Z.) · 2020Article
- Secondary Posterior Chamber Intraocular Lens Fixation Using Flanged Prolene Sutures as an Alternative to an Anterior Chamber Intraocular Lens Implantation.Clinical ophthalmology (Auckland, N.Z.) · 2020Article
- A modified intrascleral intraocular lens fixation technique with fewer anterior segment manipulations: 27-gauge needle-guided procedure with built-in 8-0 absorbable sutures.BMC ophthalmology · 2019Article
- Comparison of flanged intrascleral intraocular lens fixation versus iris claw intraocular lens fixation: A retrospective study.Indian journal of ophthalmology · 2019Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
Abstract
purposeTo determine whether haptic flanging during 27-gauge sutureless intrascleral fixation of intraocular lenses (IOLs) increases IOL stability and to report the short-term clinical outcomes of sutureless intrascleral surgery using 27-gauge trocar cannulas with haptic flanging.
methodsRetrospective surgical case series using live and cadaveric human eyes.
resultsIn the cadaveric experiment using five eyes, flanged haptics required more force to dislocate the IOL compared with unflanged haptics (14 ± 4 vs. 3 ± 1 g, P = 0.03). The clinical series included 52 eyes from 52 patients. The average age at the time of surgery was 73 ± 14 years, with a mean follow-up of 27 ± 19 weeks. The most common indication for surgery was IOL dislocation/subluxation (n = 43, 83%). Mean visual acuity improved from 20/140 preoperatively to 20/50 at postoperative Month 1 (P < 0.001). The most common postoperative issue was intraocular pressure elevation (n = 12, 23%). Two patients (4%) needed a reoperation for IOL dislocation.
conclusionHaptic flanging during 27-gauge sutureless intrascleral surgery creates a more stable scleral-fixated IOL compared with the traditional unflanged technique based on a cadaveric human eye study. In addition, this variation of sutureless intrascleral surgery seems safe and effective for patients who require secondary IOLs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.