Three cases of a torn haptic after scleral fixation using a hydrophobic acrylic intraocular lens: Case reports
1Department of Ophthalmology and Catholic Institute for Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Rationale:
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.
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