Intra-scleral haptic fixation (ISHF) has become a popular way of dealing with the absence of capsular support ever since it was described by Dr Shin Yamane. Often times surgeons elect to use the CT Lucia 602 3-piece IOL because the polyvinylidene fluoride (PVDF) haptics are flexible and perhaps lens prone to fracturing. However many surgeons now report that these IOLs seem to have a weaker haptic-optic junction and there have been cases where the haptic becomes dis-inserted and the IOL becomes dislocated. The haptic can also become loose and cause a rotation of the haptic in a rotisserie fashion. This video shows our guest surgeon re-inserting the haptic into the optic and then using the endolaser to partially melt the junction to secure it. What is your choice for IOL for Yamane ISHF?
