Intrascleral haptic fixation for haptic exposure after Yamane technique.
Mohamed Ibrahime Asif1, Rahul Kumar Bafna2, Anirudh Kapoor2
1Ophthalmology, R P Centre for Ophthalmic Sciences, AIIMS, New Delhi, Delhi, India mohamedasif1991@yahoo.co.in.
BMJ Case Reports
|August 18, 2021
Summary
A simple method repositions exposed haptics of scleral fixated intraocular lenses (IOLs). This technique facilitates intrascleral fixation after the Yamane procedure, improving outcomes for patients with dislocated IOLs.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Intraocular Lens Implantation
Background:
- Scleral fixated intraocular lenses (IOLs) are used for aphakia correction.
- The Yamane technique is a common method for scleral IOL fixation.
- Haptic exposure can occur postoperatively, necessitating intervention.
Observation:
- A 55-year-old patient experienced exposure of both haptics beyond the conjunctiva after scleral fixation of a multipiece IOL.
- The exposed haptics were causing discomfort and visual impairment.
Findings:
- A novel, aseptic surgical technique was employed to manage the exposed haptics.
- Two diagonally opposite scleral pockets were created.
- The exposed haptics were successfully redirected and repositioned into these scleral pockets, achieving secure intrascleral fixation.
Implications:
- This simple rescue method offers an effective solution for exposed haptics after Yamane technique.
- It provides a viable option for managing complications of scleral fixated IOLs.
- The technique may help prevent further complications and improve patient visual function.
