ArticleOphthalmology and therapy2024
Comparison of Safety and Efficacy of Four-Point Scleral Intraocular Lens Fixation and the Yamane Technique.
Article in Ophthalmology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Comparison of Safety and Efficacy of Four-Point Scleral Intraocular Lens Fixation and Yamane Techniques
Effect of Different Needle Insertion Positions on the Clinical Outcomes of YAMANE Technique for Intrascleral Intraocular Lens Fixation: a Randomized Controlled Trial
Who cites it
9 citing papers in PubMed.
- Bilateral anterior lens luxation with secondary glaucoma strongly associated with self-application of a percussion massage gun to closed eyelids: a case report.BMC ophthalmology · 2026Article
- Functional and anatomical outcomes of Yamane technique-based scleral fixation after complicated cataract surgery versus IOL extraction.BMC ophthalmology · 2026Article
- Long-Term Assessment of Intraocular Lens Stability, Tilt and Decentration Between Four-Point Scleral Fixation and Yamane Techniques.Journal of clinical medicine · 2026Article
- Safety and efficacy of triple procedures in pseudoexfoliation glaucoma and intraocular lens (IOL) subluxation: IOL extraction, Yamane Technique, and gonioscopy-assisted transluminal trabeculotomy.Indian journal of ophthalmology · 2026Observational
- Flanged Polypropylene Suture for Preset One-Piece Acrylic Intraocular Lens Fixation with Pre-Threaded Needle Technique: Surgical Technique and Short-Term Clinical Outcomes.Clinical ophthalmology (Auckland, N.Z.) · 2026Article
- Real-world outcomes of scleral-fixated intraocular lens: a multi-surgeon study comparing four-point fixation and flanged intrascleral haptic fixation techniques.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026Article
- Macular and Functional Outcomes After Secondary IOL Implantation Using the Yamane Technique in Aphakia, IOL Subluxation, and IOL Dislocation.Clinical ophthalmology (Auckland, N.Z.) · 2026Article
- Refractive, visual, and safety outcomes of three surgical techniques for aphakia correction.Journal of cataract and refractive surgery · 2025Article
- Late Reverse Pupillary Block After Scleral Fixation With Yamane Technique: A Case Report.Case reports in ophthalmological medicine · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe purpose of our study was to compare the safety and efficacy of two scleral fixation intraocular lens (IOL) methods of four-point scleral fixation (Akreos AO60) and the Yamane technique (AcrySof MA60AC).
methodsThis prospective, randomized study was conducted at the Military Institute of Medicine-National Research Institute in Warsaw between 2021 and 2023. We compared both groups for cause of aphakia, ocular history, refractive status, and complication.
resultsOur study included 50 eyes from 47 patients. Four-point fixation was performed in 25 eyes (group 1), and the Yamane technique was used in 25 eyes (group 2). Surgical time was 24.1 min ± 8.9 in group 1 and 25.1 min ± 9.9 in group 2 (p > 0.05). The postoperative BCVA (best-corrected visual acuity) for group 1 and group 2 at 1 year's observation was 0.10 ± 0.15 and 0.09 ± 0.17 logMAR, respectively (p > 0.05). Postoperative total refractive error (RE) was - 0.06 ± 0.71 diopters (D) for four-point scleral fixation and 0.83 ± 0.70 D for Yamane technique (p < 0.05). Endothelial cell density (ECD) loss was 0.9% in group 1 and 3.5% in group 2 (p > 0.05). Bleeding into the anterior chamber and vitreous body was more frequent in the group of patients operated on with the use of the Yamane technique (10 cases, 20%, p = 0.01). IOL displacement was found in one case (2%) in group 2.
conclusionsBoth analyzed techniques are well tolerated and ensure good refractive results (extremely predictable in four-point scleral fixation) and have a similar safety profile. Four-point scleral fixation of IOL would appear to be safe, effective and beneficial for young, active patients, especially after trauma or recurrent subluxation. CLINICAL
trial registrationClinicalTrials.gov identifier NCT06389643.
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Registered trials
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