Cystoid macular oedema after flanged intraocular lens scleral fixation using the Yamane technique: a multicentre cohort study
Abstract This retrospective observational multicentre cohort study compared the rate of postoperative cystoid macular oedema (CME) between two intraocular lens (IOL) scleral fixation (SFIOL) techniques: a flanged IOL fixation technique (Yamane technique) and a suture IOL transscleral fixation techni...
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Nature Portfolio
2025-01-01
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| Online Access: | https://doi.org/10.1038/s41598-025-85370-y |
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| author | Hiroto Ishikawa Kazutaka Uchida Hiroto Terasaki Taiji Sakamoto Masashi Kakinoki Masahito Ohji Tatsuya Jujo Hitoshi Takagi Yoshinori Mitamura Yutaka Yamada Yoshihiro Takamura Masahiko Sugimoto Mineo Kondo Shigeo Yoshida Hisashi Fukuyama Fumi Gomi |
| author_facet | Hiroto Ishikawa Kazutaka Uchida Hiroto Terasaki Taiji Sakamoto Masashi Kakinoki Masahito Ohji Tatsuya Jujo Hitoshi Takagi Yoshinori Mitamura Yutaka Yamada Yoshihiro Takamura Masahiko Sugimoto Mineo Kondo Shigeo Yoshida Hisashi Fukuyama Fumi Gomi |
| author_sort | Hiroto Ishikawa |
| collection | DOAJ |
| description | Abstract This retrospective observational multicentre cohort study compared the rate of postoperative cystoid macular oedema (CME) between two intraocular lens (IOL) scleral fixation (SFIOL) techniques: a flanged IOL fixation technique (Yamane technique) and a suture IOL transscleral fixation technique (conventional technique). The study included 207 eyes with postoperative CME that had undergone SFIOL and were observed for > 12 weeks between January 2019 and January 2021. The primary endpoint was a comparison of the rate of postoperative CME at 3 months between groups. Secondary endpoints were a comparison of postoperative best-corrected visual acuity (BCVA) at 3 months between groups and an analysis of characteristics associated with postoperative CME in the Yamane technique group. The Yamane technique group developed postoperative CME in 13.0% of eyes at 3 months, compared with 1.9% in the conventional technique group (odds ratio: 7.99, P = 0.045). Postoperative BCVA was consistently significantly higher in the Yamane technique group. Although many retinal surgeons have performed the Yamane technique because of its convenience for SFIOL, our findings suggest that the Yamane technique carries an increased risk of postoperative CME compared with the conventional suture method. Therefore, careful management of postoperative CME is needed after SFIOL. |
| format | Article |
| id | doaj-art-a298552307674c71bc7287491c252ffa |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Nature Portfolio |
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| series | Scientific Reports |
| spelling | doaj-art-a298552307674c71bc7287491c252ffa2025-01-05T12:17:44ZengNature PortfolioScientific Reports2045-23222025-01-011511810.1038/s41598-025-85370-yCystoid macular oedema after flanged intraocular lens scleral fixation using the Yamane technique: a multicentre cohort studyHiroto Ishikawa0Kazutaka Uchida1Hiroto Terasaki2Taiji Sakamoto3Masashi Kakinoki4Masahito Ohji5Tatsuya Jujo6Hitoshi Takagi7Yoshinori Mitamura8Yutaka Yamada9Yoshihiro Takamura10Masahiko Sugimoto11Mineo Kondo12Shigeo Yoshida13Hisashi Fukuyama14Fumi Gomi15J-CREST (Japan Clinical REtina STudy group)Department of Clinical Epidemiology, Hyogo Medical UniversityJ-CREST (Japan Clinical REtina STudy group)J-CREST (Japan Clinical REtina STudy group)J-CREST (Japan Clinical REtina STudy group)J-CREST (Japan Clinical REtina STudy group)J-CREST (Japan Clinical REtina STudy group)J-CREST (Japan Clinical REtina STudy group)J-CREST (Japan Clinical REtina STudy group)J-CREST (Japan Clinical REtina STudy group)J-CREST (Japan Clinical REtina STudy group)J-CREST (Japan Clinical REtina STudy group)J-CREST (Japan Clinical REtina STudy group)J-CREST (Japan Clinical REtina STudy group)J-CREST (Japan Clinical REtina STudy group)J-CREST (Japan Clinical REtina STudy group)Abstract This retrospective observational multicentre cohort study compared the rate of postoperative cystoid macular oedema (CME) between two intraocular lens (IOL) scleral fixation (SFIOL) techniques: a flanged IOL fixation technique (Yamane technique) and a suture IOL transscleral fixation technique (conventional technique). The study included 207 eyes with postoperative CME that had undergone SFIOL and were observed for > 12 weeks between January 2019 and January 2021. The primary endpoint was a comparison of the rate of postoperative CME at 3 months between groups. Secondary endpoints were a comparison of postoperative best-corrected visual acuity (BCVA) at 3 months between groups and an analysis of characteristics associated with postoperative CME in the Yamane technique group. The Yamane technique group developed postoperative CME in 13.0% of eyes at 3 months, compared with 1.9% in the conventional technique group (odds ratio: 7.99, P = 0.045). Postoperative BCVA was consistently significantly higher in the Yamane technique group. Although many retinal surgeons have performed the Yamane technique because of its convenience for SFIOL, our findings suggest that the Yamane technique carries an increased risk of postoperative CME compared with the conventional suture method. Therefore, careful management of postoperative CME is needed after SFIOL.https://doi.org/10.1038/s41598-025-85370-yYamane techniqueFlanged intraocular lens fixationSuture transscleral intraocular lens fixationCystoid macular edemaVitrectomy |
| spellingShingle | Hiroto Ishikawa Kazutaka Uchida Hiroto Terasaki Taiji Sakamoto Masashi Kakinoki Masahito Ohji Tatsuya Jujo Hitoshi Takagi Yoshinori Mitamura Yutaka Yamada Yoshihiro Takamura Masahiko Sugimoto Mineo Kondo Shigeo Yoshida Hisashi Fukuyama Fumi Gomi Cystoid macular oedema after flanged intraocular lens scleral fixation using the Yamane technique: a multicentre cohort study Scientific Reports Yamane technique Flanged intraocular lens fixation Suture transscleral intraocular lens fixation Cystoid macular edema Vitrectomy |
| title | Cystoid macular oedema after flanged intraocular lens scleral fixation using the Yamane technique: a multicentre cohort study |
| title_full | Cystoid macular oedema after flanged intraocular lens scleral fixation using the Yamane technique: a multicentre cohort study |
| title_fullStr | Cystoid macular oedema after flanged intraocular lens scleral fixation using the Yamane technique: a multicentre cohort study |
| title_full_unstemmed | Cystoid macular oedema after flanged intraocular lens scleral fixation using the Yamane technique: a multicentre cohort study |
| title_short | Cystoid macular oedema after flanged intraocular lens scleral fixation using the Yamane technique: a multicentre cohort study |
| title_sort | cystoid macular oedema after flanged intraocular lens scleral fixation using the yamane technique a multicentre cohort study |
| topic | Yamane technique Flanged intraocular lens fixation Suture transscleral intraocular lens fixation Cystoid macular edema Vitrectomy |
| url | https://doi.org/10.1038/s41598-025-85370-y |
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