Sequelae of posterior segment complications after implantation of scleral fixated intraocular lens using Yamane technique- a case series

Author: MOHD IHSAN JAMALUDIN (Malaysia)

Co-authors: mushawiahti mustapha

Purpose

To report the possible sequelae of posterior segment complication following Yamane technique scleral fixated intraocular lens (SFIOL) implantation.

Setting/Venue

Universiti Kebangsaan Malaysia Medical Centre

Methods

Reporting 3 cases of complication in using Yamane technique SFIOL implantation

Results

Case 1: 64 years old man with a history of bilateral pseudophakia presented with a bilateral subluxated intraocular lens (IOL). Right eye pars plana vitrectomy, lens explantation, scleral fixated intraocular lens implantation was done using Yamane technique. Post-operative patient developed cystoid macula oedema and with treatment, his vision improves to 6/18 pinhole 6/12. Case 2: 60 years old man with a history of cataract surgery presented with dislocated right eye intraocular lens (IOL). The IOL was then removed by an anterior segment surgeon without posterior vitrectomy and scleral fixated IOL implanted using Yamane technique. Immediate post-operatively noted vitreous haemorrhage. One-week follow-up noted vitreous haemorrhage has reduced but revealed large retinal tear superiorly. Patient then underwent an emergency vitrectomy and endolaser. Case 3: 64 years old man with a history of right eye cataract surgery complicated with corneal decompensation. The patient underwent Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) and vision improves. Two years later the patient had right IOL dislocation which was explanted by the anterior segment surgeon without posterior vitrectomy and scleral fixated IOL implanted using Yamane technique. Two months post-surgery patient developed macula hole.

Conlusions

'- To note the possible sequelae of posterior segment complications after the implantation of scleral fixated intraocular lens with Yamane technique. - Extensive manipulation in implanting a scleral fixated intraocular lens may lead to complications especially without proper posterior vitrectomy as most of the vitreous gel is still preserved.

Financial Disclosure

nil