Publication Name	World Journal of Methodology
Manuscript ID	120949
Country	United States

Category	Ophthalmology
Manuscript Type	Minireviews
Article Title	Standardizing the Yamane flanged intrascleral haptic fixation: A framework for efficacy, complication mitigation, and reproducible training
Manuscript Source	Invited Manuscript
All Author List	Güldeniz Usta Küçükbezirci, Buse Gürcan, Neeket Patel, David J Ramsey and Amal Alwreikat
Funding Agency and Grant Number
Corresponding Author	David J Ramsey, Lahey Department of Surgery, Division of Ophthalmology, UMass Chan Medical School, University of Massachusetts, 41 Mall Road, Burlington, MA 01805, United States. david.j.ramsey@lahey.org
Key Words	Yamane technique; Scleral fixation; Intrascleral fixation; Secondary IOL implantation; Cataract surgery methods; Surgical efficiency; Surgical training; Cost-effectiveness
Core Tip	The Yamane technique is a sutureless approach for scleral fixation of secondary intraocular lenses based on symmetric intrascleral haptic fixation anchored by terminal flange formation. This review addresses technical factors that directly influence fixation stability, including needle gauge selection, bevel orientation, scleral tunnel length and angulation, haptic externalization, and flange sizing. By linking mechanical principles with clinical experience, a practical methodological framework is proposed to reduce tilt, promote centration, and avoid postoperative slippage, while improving reproducibility in both surgical training and clinical research.
Citation	Yamane technique; Scleral fixation; Intrascleral fixation; Secondary IOL implantation; Cataract surgery methods; Surgical efficiency; Surgical training; Cost-effectiveness

Received	2026-03-13 02:50
Peer-Review Started	2026-03-13 02:51
First Decision by Editorial Office Director	2026-04-08 08:42
Return for Revision	2026-04-08 08:42
Revised	2026-04-18 14:48
Publication Fee Transferred
Second Decision by Editor	2026-05-06 03:15
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-05-07 02:58
Articles in Press	2026-05-07 02:58
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2222-0682 (online)
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