The Yamane technique of IOL fixation to the sclera has become very popular in the last few years but increasingly we are seeing potential pitfalls such as exposed flanges and, in this video, severe optic tilt due to loose haptic insertions which allow rotation. Many surgeons have reported that their previous choice for Yamane fixation, the Zeiss CT Lucia 602 IOL, now seems to have issues with the haptic insertion being too loose. Our guest surgeon presents a case where he demonstrates this defect as he explants the Zeiss IOL and then replaces it with a Johnson & Johnson Sensar AR40 IOL which has more rigid PMMA haptics which are more securely attached to the optic thereby preventing this rotisserie rotation.
