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Spontaneous fracture of an implanted posterior chamber polyimide intraocular lens haptic: a case report.

Kang H, Han KE, Kim TI, Kim EK - Indian J Ophthalmol (2014)

Bottom Line: The IOL was a three-piece silicone polyimide-haptics design.On slit-lamp examination, the IOL optic and proximal part of nasal fractured haptic were found in the anterior chamber.The distal part of fractured haptic was observed in the capsular bag.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology; Corneal Dystrophy Research Institute; Severance Biomedical Science Institute; Brain Korea 21 Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea.

ABSTRACT
A 57-year-old male patient visited our clinic for decreased visual acuity in the right eye for 10 days. He denied any trauma history, but recalled that the symptom developed after straining. He had undergone uncomplicated phacoemulsification and posterior chamber intraocular lens (IOL) implantation in the bag of the right eye 11 years ago. The IOL was a three-piece silicone polyimide-haptics design. On slit-lamp examination, the IOL optic and proximal part of nasal fractured haptic were found in the anterior chamber. The distal part of fractured haptic was observed in the capsular bag. He underwent IOL exchange. The fracture site of the haptic was near the optic-haptic junction. This is the unique case report of a spontaneous fracture of an implanted posterior chamber polyimide IOL haptic, which implies the possibility of IOL haptic fracture in various haptic materials.

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(a) Fractured intraocular lens after explantation. (b) Magnifying view at the optic–haptic junction
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Figure 2: (a) Fractured intraocular lens after explantation. (b) Magnifying view at the optic–haptic junction

Mentions: To prevent further complication, an operation was performed. Under retrobulbar anesthesia, the dislocated IOL including attached haptic fragment was removed. During operation, the fractured distal haptic fragment was noted and left in the bag. Then, a three-piece IOL (ZA9003, Tecnis®, Abbott Medical Optics, Santa Ana, IL, USA) was fixed in the ciliary sulcus. The extracted IOL was checked grossly, and the fracture site of the haptic was near the optic–haptic junction [Fig. 2].


Spontaneous fracture of an implanted posterior chamber polyimide intraocular lens haptic: a case report.

Kang H, Han KE, Kim TI, Kim EK - Indian J Ophthalmol (2014)

(a) Fractured intraocular lens after explantation. (b) Magnifying view at the optic–haptic junction
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4061679&req=5

Figure 2: (a) Fractured intraocular lens after explantation. (b) Magnifying view at the optic–haptic junction
Mentions: To prevent further complication, an operation was performed. Under retrobulbar anesthesia, the dislocated IOL including attached haptic fragment was removed. During operation, the fractured distal haptic fragment was noted and left in the bag. Then, a three-piece IOL (ZA9003, Tecnis®, Abbott Medical Optics, Santa Ana, IL, USA) was fixed in the ciliary sulcus. The extracted IOL was checked grossly, and the fracture site of the haptic was near the optic–haptic junction [Fig. 2].

Bottom Line: The IOL was a three-piece silicone polyimide-haptics design.On slit-lamp examination, the IOL optic and proximal part of nasal fractured haptic were found in the anterior chamber.The distal part of fractured haptic was observed in the capsular bag.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology; Corneal Dystrophy Research Institute; Severance Biomedical Science Institute; Brain Korea 21 Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea.

ABSTRACT
A 57-year-old male patient visited our clinic for decreased visual acuity in the right eye for 10 days. He denied any trauma history, but recalled that the symptom developed after straining. He had undergone uncomplicated phacoemulsification and posterior chamber intraocular lens (IOL) implantation in the bag of the right eye 11 years ago. The IOL was a three-piece silicone polyimide-haptics design. On slit-lamp examination, the IOL optic and proximal part of nasal fractured haptic were found in the anterior chamber. The distal part of fractured haptic was observed in the capsular bag. He underwent IOL exchange. The fracture site of the haptic was near the optic-haptic junction. This is the unique case report of a spontaneous fracture of an implanted posterior chamber polyimide IOL haptic, which implies the possibility of IOL haptic fracture in various haptic materials.

Show MeSH
Related in: MedlinePlus