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.