Bhatia Karan, Manaktala Ruchita, Sachdev Mahipal, Tank Nikunj, Saha Indranil, Mishra Deepak
Regional Institute of Ophthalmology, Sitapur Eye Hospital, Sitapur, Uttar Pradesh, India.
Centre for Sight, Delhi, India.
Indian J Ophthalmol. 2021 Feb;69(2):428-431. doi: 10.4103/ijo.IJO_728_20.
Scleral-fixated intraocular lens implantation in an important tool in the armamentarium of an ophthalmologist for managing aphakia. Various techniques have been described in the literature with variable learning curves. Herein, we describe an easy, fast, reproducible technique; the "MYX" technique, which utilizes the advantages of both the Yamane and the X-NIT technique, where the handshaking of the prolene haptic of a 3-piece PMMA IOL into the lumen of a 26-gauge needle is done externally (like in X-NIT technique), and the exteriorized haptic is cauterized to form a flange transconjunctivally, thereby avoiding the scleral pocket tucking (like Yamane technique), to achieve excellent surgical outcomes.
巩膜固定人工晶状体植入术是眼科医生治疗无晶状体眼的重要手段。文献中描述了各种技术,其学习曲线各不相同。在此,我们描述一种简便、快速、可重复的技术;“MYX”技术,它利用了Yamane技术和X-NIT技术的优点,即三件式PMMA人工晶状体的聚丙烯襻在26号针管腔内的握手操作在外部进行(如X-NIT技术),并且将外露的襻经结膜进行烧灼以形成一个凸缘,从而避免巩膜袋折叠(如Yamane技术),以获得优异的手术效果。