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Published on: July 7, 2023
Late spontaneous haptic disinsertion from a three-piece intraocular lens
Joel M Solano1, Keith H Baratz, Michael A Mahr
1Department of Ophthalmology, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA.
American Journal of Ophthalmology
|February 24, 2007
Summary
Late-onset haptic disinsertion from three-piece intraocular lenses (IOLs) is a rare complication. This study reports two cases of spontaneous haptic disinsertion years after cataract surgery.
Area of Science:
- Ophthalmology
- Biomaterials Science
Background:
- Posterior chamber intraocular lenses (IOLs) are commonly implanted after cataract surgery.
- Three-piece IOLs are designed for capsular bag fixation.
Observation:
- Two patients presented with spontaneous, nontraumatic haptic disinsertion from a three-piece IOL 16 and 20 years postoperatively.
- One case involved haptic dislocation into the anterior chamber, the other optic dislocation.
Findings:
- Spontaneous haptic disinsertion from a three-piece IOL can occur long after uneventful cataract surgery.
- Management varied, including haptic removal and IOL exchange.
Implications:
- This rare complication highlights the importance of long-term IOL monitoring.
- Understanding haptic failure mechanisms is crucial for future IOL design.
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