Materials and Methods: We retrospectively analyzed operation safety and efficacy of 20 patients who underwent eye patch technique as the study group and 24 eyes as the control group with scleral fixation secondary IOL implantation with sutures were analyzed retrospectively.

Results: The best corrected visual acuity (BCVA) was 0.66±0.3D in the study group and 0.36±0.2D in the control group (p<0.00). In the cylindrical refractive error study group; It was measured as -1.20±2.29D and -2.90±2.82D (p<0.63) in the control group. During the operation, vitreous hemorrhage (VIH) occurred in two cases in both groups and iris sphincter rupture occurred in one case in the control group. In the long-term postoperatively, retinal detachment developed in one patient in the study group, retinal detachment in two patients in the other group, Irvine Gass syndrome in two patients, and IOL subluxation in two patients.

Conclusion: The Yamane technique applied to cases with zonule or capsule weakness showed significant visual improvement and success in minimizing perioperative and postoperative complications compared to other scleral-fixed secondary IOL implantation cases. Adding minor changes to existing surgical techniques has had serious implications for the ease and effectiveness of the surgical technique for surgeons. Keywords : Secondary IOL with Scleral Fixation, Yamane, Zonal Weakness