OUTCOMES OF YAMANE TECHNIQUE FOR INTRAOCULAR THREE-PIECE LENS IMPLANTATION IN PATIENTS WITH MARFAN SYNDROME

*Rania Z. Rawashdeh MD, Dua’a T., Dradkeh MD, Hesham Q. Rawashdeh MD, Areej M. Almassafeh MD, Ibrahim Alkelany MD

ABSTRACT

Aim: to explore safety and efficacy of Yamane technique for intraocular three-piece lens implantation in patients with Marfan syndrome in relation to clinical and refractive outcomes. Method: this retrospective study was conducted at the ophthalmology clinic of King Hussein Medical center between January 2020 and June 2025. All patients who had subluxated lens as a manifestation of Marfan syndrome and requiring phacoemulsification using Yammane technique for intraocular lens implantation were involved int the study. The demographic features of the patients were recorded regarding age, gender and past medical and surgical history. The outcome of ocular examination including Best corrected visual acuity (BCVA), anterior and posterior eye segment examination, intra ocular pressure (IOP) measurement, and refraction before and after surgery were reported and compared. The obtained data were reviewed and analyzed using descriptive analysis and t-test. Results: Twenty patients (30 eyes) aged between 14 and 26 years (mean 17.5±3.2 years) were included in the study 50.0% of them were males. Phacoemulsification and Yammane IOL fixation was performed to all patients, the mean duration of surgery was 25.5±5.3 minutes (Range 15.3-29.4 minutes). Complications occurred in 10 eyes (33.3%); Zonular dialysis, Posterior capsule rupture, and hyphema were the most common. Significant improvement (P-Value 0.05) in central corneal thickness (CCT), endothelial cell count (ECC), and intra ocular pressure (IOP). Conclusion: 3-piece IOL implantation was effectively used in the management of IOL subluxation among patients with Marfan syndrome with excellent safety profile.

Keywords:

Lens subluxation, Marfan syndrome, Yamane technique.

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