Haptic-induced postoperative complications. Evaluation using ultrasound biomicroscopy

Evaluation of haptic-induced postoperative complications with single-piece intraocular lenses (IOLs) using ultrasound biomicroscopy (UBM).

A retrospective case series.

We looked at 5 pseudophakic eyes with noninfectious postoperative complications, after undergoing phacoemulsification with posterior chamber intracapsular IOL placement.

A review of clinical findings as well as UBM measurements looking at the distance of the IOL from the posterior surface of the pupil on each side of the lens.

In all cases, UBM revealed malposition of the IOL, confirming IOL tilting and haptic displacement outside of the capsular bag.

UBM is a useful tool for early diagnosis of uveitis-glaucoma-hyphema syndrome because it enables visualization of the exact position of the IOL in vivo. In such cases, localization of the lens and haptics are essential in devising treatment strategies, such as repositioning of the haptics, haptic amputation, or removal of the IOL.