Evidence map›Paper›PMID 40927219›Full record

ArticleJournal of ophthalmic & vision research2025

Haptic-Optic Fractures in Yamane Flanged Intrascleral Fixated Lenses: A Case Series.

Rina Su, Paras P Shah, Elmira Baghdasaryan, Daniel Zhu, Talia Kaden, Jules Winokur, Isha Cheela

Abstract read
In one paragraph

Article in Journal of ophthalmic & vision research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Rina SuDepartment of Ophthalmology, Northwell Health Eye Institute, Great Neck, NY, USA.
Paras P ShahDepartment of Ophthalmology, Northwell Health Eye Institute, Great Neck, NY, USA.
Elmira BaghdasaryanDepartment of Ophthalmology, Northwell Health Eye Institute, Great Neck, NY, USA.
Daniel ZhuDepartment of Ophthalmology, Northwell Health Eye Institute, Great Neck, NY, USA.
Talia KadenDepartment of Ophthalmology, Northwell Health Eye Institute, Great Neck, NY, USA.
Jules WinokurDepartment of Ophthalmology, Northwell Health Eye Institute, Great Neck, NY, USA.
Isha CheelaDepartment of Ophthalmology, Northwell Health Eye Institute, Great Neck, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To report five cases of structural weakness at the haptic-optic junction of the CT Lucia 602 intraocular lens (IOL) (Carl Zeiss Meditec Inc., Dublin, CA), including two optic breakages and three optic microfractures, while using the Yamane flanged intrascleral haptic fixation surgery (FIHFS). Methods: A retrospective chart review of five cases that underwent Yamane FIHFS by the same surgeon between 2020 and 2022 was performed. Patients' demographics, operative technique, postoperative outcomes, and adverse events were recorded over a 12-month follow-up period. Results: One case of optic breakage, noted on postoperative week 1 (POW1), had the optic with the trailing haptic suspended in the vitreous while both haptic flanges remained secured to the sclera, requiring IOL exchange. The second case of optic breakage was noted intraoperatively and required explantation of the IOL with subsequent placement of an iris-fixated IOL. Three cases of optic microfractures were observed with no long-term complications. All five fractures occurred at the junction of the leading haptic. Conclusion: Optic breakage and microfractures at the haptic-optic junction are unusual complications of intrascleral fixated IOL using the Yamane technique. To the best of our knowledge, this has not been previously reported with the CT Lucia 602 IOL. The authors recommend careful selection of the IOL material for this technique to prevent possible complications.

Indexed as

Haptic-Optic JunctionIntraocular LensScleral FixationYamane

Identifiers

PMID40927219
PMCPMC12415495

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