A new technique for correcting intraocular lens tilt after the Yamane technique

To describe a novel, minimally invasive surgical technique, termed “posterior interception and elevation” for correcting Intraocular Lens (IOL) tilt following the Yamane double-needle intrascleral fixation technique. Eleven eyes with postoperative IOL tilt following Yamane fixation underwent the posterior interception and elevation procedure. Two 10 − 0 polypropylene sutures were placed posterior to the tilted IOL optic to intercept and elevate it into the correct anatomical position without manipulating the original haptics. Proper IOL centration and alignment were confirmed intraoperatively, and the sutures were secured within the scleral wall. All cases achieved successful IOL repositioning with no intraoperative complications. Postoperative imaging (AS-OCT) confirmed centered IOLs with resolved tilt. Patients reported excellent comfort, with no awareness of the intraocular sutures. No recurrence of IOL tilt or haptic dislocation was observed during the follow-up period. The posterior interception and elevation technique is a simple, rapid, and effective method for correcting IOL tilt after Yamane fixation. By avoiding manipulation of the original haptics, this minimally invasive approach reduces surgical trauma while providing stable anatomical and functional outcomes, representing a promising alternative to conventional haptic repositioning or IOL exchange.