
The Yamane technique of scleral fixation of an IOL has become popular over the past few years. It can work well, but it is not an easy technique to master. The traditional teaching is to use thin-walled 30g needles to create the scleral path for the haptics to be externalized. In this video, our guest surgeon simply uses the 27/29g trocar entry path as the scleral tunnel for the haptic on each side of the eye. Note that this patient has had a complete pars plana vitrectomy as opposed to the anterior vitrectomy which is more common among cataract surgeons. What do you think of this technique?

Whats better in these cases, Yamane or Iris Claw lens?