AbstractRationale:We report 3 cases of a torn haptic after successful scleral fixation with a hydrophobic acrylic intraocular lens.Patient concerns:Patients complained of decreased visual acuity about 1 week to 1 month after scleral fixation.Diagnoses: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.Interventions:Patients underwent re-scleral fixation with caution.Ouctomes:There was no complication of broken haptic after re-scleral fixation.Lessons: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.
Medicine – Wolters Kluwer Health
Published: Feb 1, 2018
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