1613: Yamane-Kim intra-scleral fixation

Our guest surgeon does a beautiful job of performing the Yamane intra-scleral fixation technique and he takes it one step more by doing the Kim haptic technique. Remember that the original Yamane technique was done in eyes with a pars plana vitrectomy. This is helpful since the IOL optic and haptics may end up in the anterior or even mid vitreous as the IOL is manipulated inside the eye. A criticism of anterior segment surgeons is that the IOL may end up becoming entangled with vitreous which places traction and may account for the high rate of macular edema in these cases. Dr Brian Kim came up with a modification which allows for easier haptic manipulation during Yamane techniques. This video shows the details.

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