Three cases of a torn haptic after scleral fixation using a hydrophobic acrylic intraocular lens: Case reports

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Abstract

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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