Visual outcome and prognosis following SFIOL implantation by Dr. Shin Yamane’s double needle based haptic exteriorization with transconjunctival flanging of haptic tips technique

To study the visual outcome and prognosis in patients after Scleral Fixated Intraocular Lens (SFIOL) implantation by Yamane's technique at a tertiary hospital in Madhya Pradesh. A total of 20 eyes of 20 patients with aphakia or subluxated lens (postoperative or traumatic) reporting to our study area were included. Detailed clinical history, associated comorbidities were noted and patients were subjected to detailed ophthalmologic examination. After preoperative evaluation, SFIOL implantation using Yamane’s technique was done and patients were followed up till 3 months. Mean age of patients was 52.5±17.99 years (range 20 – 78 years) and about 70% patients were males. Close globe injury followed by posterior capsular rent during phacoemulsification were the most common causes observed in 25% and 15% cases respectively leading to aphakia. About 65% patients presented with visual acuity of 1/60 i.e., hand movement, counting finger or PLPR. Following SFIOL, visual acuity improved significantly i.e., 75% patients had visual acuity of 6/6 to 6/12 (p0.05).No significant complication was noted in postoperative period. Yamane’s novel suture less, flapless and glue less technique of SFIOL implantation can be effectively utilized for management of aphakia and subluxation of lens due to various etiologies. Visual outcome in cases with aphakia and lens related causes of low visual acuity can be improved with SFIOL with avoidance of other suture and flap related complications as well.