Background: Sutureless intrascleral intraocular lens (IOL) fixation using the Yamane technique is an option for visual rehabilitation in eyes without capsular support. The aim of this study is to report long-term visual outcomes and clinical predictors in consecutive real-world cohorts, a topic addressed by very few previous studies. Methods: This was a single-center, single-surgeon consecutive case series including 87 eyes of 85 patients who underwent Yamane SFIOL for aphakia or lens/posterior chamber IOL ectopia, with at least 12 months of follow-up. BCVA was measured using a Snellen chart and recorded in decimal notation. To identify predictors of postoperative BCVA, univariable screening was first performed, followed by a clinically driven multivariable linear mixed-effect regression. Results: Mean age was 68.2 ± 11.4 years, and 70.6% were male. Median follow-up was 26.5 months. Median BCVA improved from 0.2 ± 0.2 (range 0.001–1.0) preoperatively to 0.9 ± 0.2 (range 0.2–1.0) postoperatively (p < 0.001). Surgical indication and preoperative comorbidity burden were not linked to postoperative BCVA. In the multivariable analysis, older age (B = −0.005, p = 0.027), macular edema (B = −0.242, p = 0.035), and prior silicone oil removal (B = −0.237, p = 0.046) independently predicted lower postoperative BCVA. Conclusions: Yamane SFIOL provides significant long-term visual improvement, with outcomes mainly determined by patient age and retinal status. This study offers new data on functional outcomes and clinically relevant predictors in a consecutive real-world cohort, supporting the reliability and long-term efficacy of sutureless scleral IOL fixation.

Introduction/Objective. Rhegmatogenous retinal detachment is an ophthalmic emergency which can result in vision loss. The aim of our study was to evaluate the demographic, epidemiological, clinical characteristics and treatment method of rhegmatogenous retinal detachment. Methods. This retrospective study was conducted at the Department of Vitreoretinal Surgery and Eye Trauma in the period between January 1, 2024 and December 31, 2025. The data included sex, age, season, onset of symptoms, presence of myopia, previous cataract surgery, as well as the method of treatment. Results. Out of 275 patients, there were 177 males (64.36%) and 98 females (35.64%). The majority of the study population was between 61 and 80 years old (n = 140, 50.91%). The most commonly selected surgical procedure was PPV (n = 226, 81.88%). Silicon oil was the preferred tamponade (n = 191, 75.2%). Best corrected visual acuity on admission was worse than 0.1 in the majority of the affected eyes (n = 177, 64.13%), while one month after surgery nearly half (n = 130, 47.1%) achieved visual acuity between 0.1 and 0.5. Recurrent detachment had 29 patients (10.32%). Conclusion. In conclusion, our study emphasizes that rhegmatogenous retinal detachment primarily affects males and individuals over 60 years of age within our region. Consequently, there is an urgent need to implement targeted public health initiatives to educate high-risk individuals on early symptoms, optimize primary ophthalmic triage, and establish efficient referral pathways to ensure timely surgical intervention and preserve functional vision.

Background: Draining veins of the arteriovenous malformations (AVMs) can be the cause of hemorrhages, and the subject of a specific treatment. However, there are very scarce reports about their radiologic anatomy. Methods: Fifty-seven patients with cerebral AVMs were enrolled, almost with equal number of males and females. All of them underwent a neurologic examination, and then digital subtraction angiography, and computerized tomographic angiography. The obtained data were statistically analyzed. Results: The 57 patients had AVMs most often located in the frontal region (17.6%), and in the temporal and parietotemporal area (15.8% each). Supratentorial location existed in 88.4%, and infratentorial in 12.6%. Their draining veins ranged 1–17 in number (mean, 2.19). Singular veins were present in 22.8%, and double in 59.7%. Most of draining veins entered the superior sagittal sinus and other superficial vessels (63.2%), some terminated into deep veins or sinuses (12.3%), whilst both sites were present in 24.5%. Dilated draining veins existed in 88.9%, and venous aneurysms in 8.8%. An AVM hemorrhage was the initial sign in 49.2%. As for the AVMs treatment, endovascular embolization was performed (15.8%), surgical intervention (12.3%), and gamma knife irradiation (21.1%), whilst the remaining patients were treated conservatively, with a total mortality rate of 7.2%. Conclusion: Draining veins, which averaged 2.19 in number, terminated in various venous vessels. Most of them were dilated and tortuous, with rare aneurysms. A hemorrhage appeared in a half of the patients. Most of AVMs were treated by endovascular, neurosurgical, or radio-surgical interventions.

Sutureless intrascleral intraocular lens fixation using the Yamane technique is an established option for visual rehabilitation in eyes without capsular support. This study evaluated long-term visual outcomes and predictors of postoperative best-corrected visual acuity (BCVA) following Yamane SFIOL implantation. In this single-center, single-surgeon consecutive case series, patients undergoing surgery for aphakia or lens/posterior chamber intraocular lens ectopia with ≥12 months of follow-up were included. BCVA was measured using a standard Snellen chart and recorded in decimal notation. Univariable screening followed by clinically driven multivariable linear mixed-effect regression was performed. Eighty-seven eyes of 85 patients were analyzed (mean age 68.2 ± 11.4 years; 70.6% male). Median BCVA improved significantly from 0.2 preoperatively to 0.9 postoperatively (p < 0.001), with a median follow-up of 26.5 months. Surgical indication was not associated with postoperative BCVA (B = −0.015, p = 0.752), nor was preoperative comorbidity burden. In multivariable analysis, older age (B = −0.005, p = 0.027), macular edema (B = −0.242, p = 0.035), and prior silicone oil removal (B = −0.237, p = 0.046) were independently associated with lower postoperative BCVA. Yamane SFIOL provides significant long-term visual improvement, while postoperative visual outcomes are primarily determined by age and retinal status.