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Cohort studyRetina (Philadelphia, Pa.) · 2026

Intrascleral fixation with double-flanged prolene: a stable technique for intraocular lens implantation.

Wenting Han, Hui Lin, Qi Zhou … Yanlong Bi

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OphthalmologyCohort study

Double-flanged prolene lens fixation is linked to less corneal cell loss than Yamane technique

Intrascleral fixation with double-flanged prolene: a stable technique for intraocular lens implantation.

Wenting Han … Yanlong Bi

Retina (Philadelphia, Pa.) · 2026

Purpose

To evaluate the efficacy and safety of a double-flanged prolene (double-flanged prolene) intrascleral fixation technique for intraocular lens (intraocular lens) implantation in eyes lacking capsular support.

Methods

This retrospective study included 59 eyes (59 patients) undergoing intraocular lens fixation via double-flanged prolene (n=30) or Yamane flanged (YF; n=29 techniques (November 2019-January 2024).

n = 59 eyes

Results

less inner-eye cell loss after surgery - a sign of a gentler procedure

77.67cells/

DFP

216.45cells/

YF

More results

YF had higher complication rates (iridemia, cystoid macular edema, haptic exposure; P=0.039).

Intraocular lens tilt/decentration increased comparably in both groups.

“

Conclusion

The double-flanged prolene technique offers a safe, efficient alternative to YF for intraocular lens fixation in eyes without capsular support, providing stable positioning, improved visual outcomes, and reduced endothelial cell loss.

Post

Intrascleral fixation with double-flanged prolene: a stable technique for intraocular lens implantation.

Double-flanged prolene lens fixation is linked to less corneal cell loss than Yamane technique

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