{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T11:51:21Z","timestamp":1776167481498,"version":"3.50.1"},"reference-count":28,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: To compare tilt and decentration results of two scleral fixation intraocular lens (IOL) methods of four-point scleral fixation (Akreos AO60) and the Yamane technique (AcrySof MA60AC). Methods: Two groups were compared in terms of IOL decentration and tilt at day 30 and 2 years after surgery. Correlations between IOL tilt and decentration and previous pars plana vitrectomy (PPV), axial length (AL), refractive error (RE), astigmatism, and spherical equivalent (SE) were also analyzed. Results: This study included 50 eyes from 47 patients: four-point fixation in 25 eyes (group 1) and Yamane technique in 25 eyes (group 2). The mean horizontal tilt was 1.66\u00b0 \u00b1 1.45\u00b0 in group 1 and 5.06\u00b0 \u00b1 4.65\u00b0 in group 2. The horizontal tilt value was significantly higher (p &lt; 0.05) in group 2. The mean vertical tilt for group 1 and group 2 at two year\u2019s observation was 1.74\u00b0 \u00b1 2.16\u00b0 and 3.09\u00b0 \u00b1 2.79\u00b0 respectively (p = 0.02). The mean horizontal IOL decentration was 0.35 \u00b1 0.32 mm in group 1 and 0.34 \u00b1 0.26 mm in group 2 (p &gt; 0.05). The mean vertical IOL decentration in group 1 was 0.34 \u00b1 0.33 mm and in group 2 it was 0.27 \u00b1 0.20 mm respectively (p = 0.45). No statistically significant changes in tilt and decentration time were demonstrated in both groups (p &gt; 0.05). There was no statistically significant correlation between IOL tilt and decentration and previous PPV in both groups. Conclusions: Both techniques provide good centration and stability IOL in aphakic eyes in the absence of capsular support.<\/jats:p>","DOI":"10.3390\/jcm15082967","type":"journal-article","created":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T10:29:08Z","timestamp":1776162548000},"page":"2967","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long-Term Assessment of Intraocular Lens Stability, Tilt and Decentration Between Four-Point Scleral Fixation and Yamane Techniques"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4549-9637","authenticated-orcid":false,"given":"Natalia","family":"Blagun","sequence":"first","affiliation":[{"name":"Ophthalmology Department, Military Institute of Medicine\u2014National Research Institute, Szaser\u00f3w Street 128, 04-141 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8493-7762","authenticated-orcid":false,"given":"Karolina","family":"Krix-Jachym","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Military Institute of Medicine\u2014National Research Institute, Szaser\u00f3w Street 128, 04-141 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0429-6649","authenticated-orcid":false,"given":"Marek","family":"Rekas","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Military Institute of Medicine\u2014National Research Institute, Szaser\u00f3w Street 128, 04-141 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,4,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Ashena, Z., Maqsood, S., Ahmed, S.N., and Nanavaty, M.A. (2020). 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