Three cases of a torn haptic after scleral fixation using a hydrophobic acrylic intraocular lens: Case reports

Medicine
Min-Ji Kang, Choun-Ki Joo

Abstract

We report 3 cases of a torn haptic after successful scleral fixation with a hydrophobic acrylic intraocular lens. Patients complained of decreased visual acuity about 1 week to 1 month after scleral fixation. In all 3 cases, the direction of the damaged haptic correlated with the direction of the pulling force made by the hung suture material. Observation of a cheese-wiring effect on scanning electron microscopy suggested that the haptic was cut by the suture. Patients underwent re-scleral fixation with caution. There was no complication of broken haptic after re-scleral fixation. To avoid unexpected haptic tears, great caution is needed; surgeons should avoid applying excessive pulling force to the intraocular lens when performing scleral fixation using a hydrophobic acrylic intraocular lens.

References

Jul 11, 2002·Journal of Cataract and Refractive Surgery·Ninel Z GregoriRandall J Olson
Feb 7, 2007·Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye·Kaushal KulkarniTongalp H Tezel
Oct 4, 2015·BMC Ophthalmology·Chongde LongBingqian Liu
Oct 17, 2015·Journal of Cataract and Refractive Surgery·Andrew C WallmannDaniel A Adelberg

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Citations

Aug 11, 2020·American Journal of Ophthalmology·Arjun WataneNicolas A Yannuzzi

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Methods Mentioned

BETA
scanning electron microscopy

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