Minimalistic modified Yamane technique: intraocular lens haptic docking with injector and 27-gauge needle, without infusion line

Purpose: To report a modified minimalist Yamane technique for scleral fixated intraocular lens (IOL) that is safer, faster and more economical, without infusion line support. Methods: The modified Yamane technique was adapted; the first haptics was docked into the sclerotomy needle directly from the lens injector and second haptic was docked into the sclerotomy needle whilst the IOL is in anterior chamber, by using a suture-tying forceps and without infusion line support. Results: The unaided visual acuity of 6/7.5 was achieved postoperatively on Day 1 and 1,3 and 6 months. No postoperative complications were identified and the IOL was well-centred. Conclusion: We introduced a modified Yamane method that is minimalistic, which is safer, faster and more economical, with less risk of possible trauma especially to the iris compared to the standard Yamane method and no need for expensive instruments such as the vitreo-retina micro-forceps.