{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T09:08:54Z","timestamp":1784020134511,"version":"3.55.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:00:00Z","timestamp":1745971200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the efficacy\/complications of Yamane double needle technique and when needed following penetrating keratoplasty (PKP) in cases with corneal stromal scarring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Ege University Hospital, Department of Ophthalmology, Izmir.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective Cohort Study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Yamane double needle technique was applied to patients with corneal stromal scarring. Pre\/post-operative best corrected visual acuity (BCVA-logMAR), intraocular pressure (Goldmann), detailed anterior and posterior segment examinations with slit-lamp, ultrasonography and optic coherence tomography were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The technique was applied to 24 eyes of 24 patients. Mean age was 57.33\u2009\u00b1\u200916.71(13\u201379) years. Male\/female ratio was 0.5. Following secondary intraocular lens implantation with Yamane technique mean best corrected visual acuity improved significantly (1.66\u2009\u00b1\u20090.44 vs 1.15\u2009\u00b1\u20090.71 logMAR; p\u2009=\u20090.002). After the implantation transient intraocular pressure elevation (4 eyes [16%]), hyphema (2 eyes [8%]), cystoid macular edema (2 eyes [8%]), vitreous hemorrhage (1 eye [4%]), granulomatous uveitis recurrence (1 eye [4%]), intraocular lens dislocation (1 eye [4%]) were observed. PKP was performed to 9 eyes (37%). Due to improvement in BCVA corneal transplantation was postponed in 11 eyes (0.83\u2009\u00b1\u20090.61 logMAR). The eyes which had undergone penetrating keratoplasty had a mean BCVA of 1.68\u2009\u00b1\u20090.53 logMAR) which improved after surgery (1.01\u2009\u00b1\u20090.58 logMAR; p\u2009=\u20090.028). Following penetrating keratoplasty, intraocular pressure elevation (3 eyes [12%]), cystoid macular edema (2 eyes [8%]), hypotonia (2 eyes [8%]), epithelial defects (2 eyes [8%]), keratitis (1 eye [4%]) were detected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Yamane double needle technique is a safe and an effective method for visual rehabilitation in eyes with aphakia or insufficient capsular support accompanied by corneal stromal scarring. PKP can be performed safely as a stepwise approach after Yamane double needle technique. Moreover, in some patients due to visual improvement corneal transplant might be postponed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721251338704","type":"journal-article","created":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T03:00:51Z","timestamp":1745982051000},"page":"2035-2040","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Secondary intraocular lens implantation with Yamane double needle technique in patients with corneal stromal scarring"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0821-3599","authenticated-orcid":false,"given":"Cay","family":"Yigit","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Anamur State Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8268-536X","authenticated-orcid":false,"given":"Degirmenci","family":"Cumali","sequence":"additional","affiliation":[{"name":"Ege University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2494-0131","authenticated-orcid":false,"given":"Palamar","family":"Melis","sequence":"additional","affiliation":[{"name":"Ege University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,30]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"WHO. Blindness: vision 2020\u2014control of major blinding diseases and disorders. 2016. http:\/\/www.who.int\/mediacentre\/factsheets\/ fs214\/en."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/aos.14059"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-018-4178-3"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/aos.14307"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2013.08.043"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2017.03.036"},{"key":"e_1_3_2_8_2","unstructured":"Kumar B Muni I. Scleral Fixation of Intraocular Lenses. 2023 Jul 3. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan\u2013."},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2005.06.010"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2018.05.010"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2018.06.049"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/IAE.0000000000002455"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajoc.2018.11.006"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/08820538.2020.1733031"},{"key":"e_1_3_2_15_2","doi-asserted-by":"crossref","unstructured":"Karadag R Bayramlar H Azari AA et al. Trocar-assisted sutureless scleral-fixated intraocular lens implantation combined with penetrating keratoplasty cornea. 2016; 35: 1261\u20131265.","DOI":"10.1097\/ICO.0000000000000944"},{"key":"e_1_3_2_16_2","first-page":"1261","article-title":"26-G needle-assisted sutureless glueless intrascleral haptic fixation for secondary ciliary sulcus implantation of three-piece olymethylmethacrylate intraocular lens during penetrating keratoplasty","volume":"35","author":"Sethi HS","year":"2016","unstructured":"Sethi HS, Naik MP, Gupta VS. 26-G needle-assisted sutureless glueless intrascleral haptic fixation for secondary ciliary sulcus implantation of three-piece olymethylmethacrylate intraocular lens during penetrating keratoplasty. Cornea 2016; 35: 1261\u20131265.","journal-title":"Cornea"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2008.12.049"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/11206721231167198"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000001421"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.928868"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721251338704","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11206721251338704","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721251338704","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T08:54:30Z","timestamp":1784019270000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11206721251338704"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,30]]},"references-count":19,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1177\/11206721251338704"],"URL":"https:\/\/doi.org\/10.1177\/11206721251338704","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,30]]}}}