Haptic Breakage after Transscleral Fixation of a Single-Piece Acrylic Intraocular Lens

Abstract

Purpose: To report the case of a patient with a damaged haptic of an acrylic intraocular lens (IOL) after transscleral IOL fixation. Methods: This is a retrospective and descriptive case report. Results: A 40-year-old man presented with sudden visual loss in the left eye. He had undergone phacoemulsification/aspiration and IOL implantation 3 years previously and IOL repositioning with transscleral fixation 2 years before the initial visit. His visual acuity was 0.3 in the left eye due to corneal edema caused by a foreign body, i.e., the severed haptic tip of the single-piece acrylic IOL, which was surgically removed. The IOL itself was tilted and therefore explanted. The surface of the tip of the haptic suggested that the monofilament suture thread had exerted continuous force across the haptic. Conclusions: The haptics of acrylic IOLs can be damaged after transscleral fixation.

Keywords

• Intraocular lens
• Acrylic intraocular lens
• Intraocular lens damage
• Transscleral fixation