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Retinal Physician

Article

Surgical Roundtable Case 3: Fixing a Tilted Secondary IOL

Christina Weng, MD, MBA, presents a case of secondary IOL tilt correction, highlighting a novel 5-point scaffold technique for lens stabilization.

By: Christina Y. Weng, MD, MBA, Mrinali Gupta, MD, FASRS, Nimesh A. Patel, MD, Frank Brodie, MD, MBA
Retinal Physician July 1, 2026 Vol 23, Issue July-August 2026 Page(s): 7
Objective:

To present a case of secondary intraocular lens (IOL) tilt correction using a novel 5-point scaffold technique for lens stabilization.

Approach:
  • Technique Overview: The modified Yamane technique is utilized for secondary IOL fixation, focusing on correcting tilt through a 5-point star scaffold using a 9-0 Prolene suture.
  • Case Presentation: An 84-year-old patient with a dislocated IOL underwent explantation and re-fixation using the modified Yamane technique, which was effective for correcting a 45° tilt.
Key Findings:
  • The 5-point scaffold technique effectively corrects IOL tilt without the need for explantation.
  • Tilt is a common issue with certain IOLs, including the CT Lucia 602.
  • The technique simplifies secondary IOL surgeries and reduces trauma to the eye.
Interpretation:

Limitations:
  • The technique may not be universally applicable to all types of IOLs.
  • Further validation and comparison with other techniques are needed.
Conclusion: