ArticleAmerican journal of ophthalmology2021
A Biomechanical Study of Flanged Intrascleral Haptic Fixation of Three-Piece Intraocular Lenses.
Article in American journal of ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Comparative safety and complication profiles of two three-piece intraocular lenses in Yamane technique.International ophthalmology · 2026Article
- Miri 4-points marker: a low-cost marking device for flanged intrascleral intraocular lens fixation with modified Yamane technique.BMC ophthalmology · 2026Article
- Flanged scleral fixation: thermoplastic properties of suture materials and implications for flange geometry.BMC ophthalmology · 2026Article
- Modified Four-Flanged Intrascleral Fixation of Foldable Intraocular Lenses Using a 1-Inch, 30-Gauge Needle for Extraocular Suture Threading.Korean journal of ophthalmology : KJO · 2026Article
- Comparison of the Cionni ring and Yamane techniques for intraocular lens implantation in pediatric Marfan syndrome patients with lens subluxation.BMC ophthalmology · 2026Article
- The JFC Method: A Proof-of-Concept Report on the Surgical Technique and Initial Feasibility of a Novel Flanged-Cord Temporary Occlusion for Non-Valved Glaucoma Drainage Devices.Clinical ophthalmology (Auckland, N.Z.) · 2026Article
- Comparison of flange creation in three-piece intraocular lenses between high- and low-temperature cautery.BMC ophthalmology · 2025Article
- Severe intraocular lens tilt after the Yamane technique.Journal of cataract and refractive surgery · 2025Article
- Haptic-Optic Fractures in Yamane Flanged Intrascleral Fixated Lenses: A Case Series.Journal of ophthalmic & vision research · 2025Article
- Comparing dislocation force between a flanged haptics IOL and a harpoon haptics IOL.Scientific reports · 2024Article
- Recent advances and current challenges in suture and sutureless scleral fixation techniques for intraocular lens: a comprehensive review.Eye and vision (London, England) · 2024Review
- Comparison of outcomes between modified double-flanged sutureless scleral fixation and conventional sutured scleral fixation.Scientific reports · 2024Article
- Haptic curing with endolaser after lens tilt in the Yamane technique.American journal of ophthalmology case reports · 2024Article
- Dislocation force of scleral flange-fixated intraocular lens haptics.BMC ophthalmology · 2024Article
- Intraocular lens tilt due to optic-haptic junction distortion following intrascleral haptic fixation with the Yamane technique.American journal of ophthalmology case reports · 2023Article
- Photo-cross-linked Gelatin Glycidyl Methacrylate/N-Vinylpyrrolidone Copolymeric Hydrogel with Tunable Mechanical Properties for Ocular Tissue Engineering Applications.ACS applied bio materials · 2021Article
- Biomechanical Testing of Flanged Polypropylene Sutures in Scleral Fixation.American journal of ophthalmology · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
purposeFlanged intrascleral haptic fixation (FISHF) is a useful method for securing intraocular lenses (IOLs) in eyes without capsular support. Biomechanical studies were conducted to support the use of this technique.
designLaboratory investigation.
methodsHaptics of 3-piece IOLs were passed through cadaveric human sclera using 30- and 27-gauge needles. Flanges were created by melting 1.0 mm from the haptic ends using cautery. The forces required to remove the flanged haptic from the sclera and disinsert the haptic from the optic were measured using a mechanical tester and a custom-fabricated mount.
resultsThe mean FISHF dislocation force using 30-gauge needles was greatest with the CT Lucia 602 (2.04 ± 0.24 newtons [N]) compared to the LI61AO (0.93 ± 0.41 N; P = .001), ZA9003 (0.70 ± 0.34 N; P = <.001), and MA60AC (0.27 ± 0.19 N; P <.001). Using 27-gauge needles with the CT Lucia resulted in a lower dislocation force (0.56 ± 0.36 N; P <.001). The FISHF dislocation force was correlated with the flange-to-needle diameter ratio (r = 0.975). The FISHF dislocation forces of the CT Lucia and LI61AO using 30-gauge needles were not significantly different from their haptic-optic disinsertion forces (P = .79 and .27, respectively). There were no differences in flange diameters between 1.0 mm and 2.0 mm haptic melt lengths across the IOLs (P = .15-.85).
conclusionsThese data strongly support the biomechanical stability of FISHF with the polyvinylidene fluoride haptics of the CT Lucia using small diameter instruments for the creation of an intrascleral tunnel. 1.0 mm of haptic may be the optimal melt length.
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