Late Spontaneous Haptic Disinsertion From a Three-Piece Intraocular Lens

Joel M. Solano; Keith H. Baratz; Michael A. Mahr; Jay C. Erie

doi:10.1016/j.ajo.2006.10.036

Late Spontaneous Haptic Disinsertion From a Three-Piece Intraocular Lens

Joel M. Solano, Keith H. Baratz, Michael A. Mahr, Jay C. Erie

Ophthalmology

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

Purpose: To report two cases of spontaneous, late-onset haptic disinsertion from a three-piece posterior chamber intraocular lens (IOL). Design: Interventional case reports. Methods: Two eyes of two patients had uncomplicated phacoemulsification and presented 16 and 20 years after surgery with spontaneous, nontraumatic haptic disinsertion from a three-piece IOL. Results: In one case, the disinserted haptic dislocated into the anterior chamber while the IOL optic-single haptic complex remained centered and supported within the capsular bag. Cystoid macular edema was present, but resolved after removal of the disinserted haptic. In the second case, the disinserted haptic remained within the capsular bag while the IOL optic dislocated into the anterior chamber. Removal of the IOL and exchange with a sulcus-fixated single piece IOL was required. Conclusions: Nontraumatic haptic disinsertion from a three-piece IOL is a rare long-term complication after phacoemulsification.

Original language	English (US)
Pages (from-to)	521-522
Number of pages	2
Journal	American journal of ophthalmology
Volume	143
Issue number	3
DOIs	https://doi.org/10.1016/j.ajo.2006.10.036
State	Published - Mar 2007

ASJC Scopus subject areas

Ophthalmology

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10.1016/j.ajo.2006.10.036

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@article{1656eb45aa1e4062996608bc08dbda59,

title = "Late Spontaneous Haptic Disinsertion From a Three-Piece Intraocular Lens",

abstract = "Purpose: To report two cases of spontaneous, late-onset haptic disinsertion from a three-piece posterior chamber intraocular lens (IOL). Design: Interventional case reports. Methods: Two eyes of two patients had uncomplicated phacoemulsification and presented 16 and 20 years after surgery with spontaneous, nontraumatic haptic disinsertion from a three-piece IOL. Results: In one case, the disinserted haptic dislocated into the anterior chamber while the IOL optic-single haptic complex remained centered and supported within the capsular bag. Cystoid macular edema was present, but resolved after removal of the disinserted haptic. In the second case, the disinserted haptic remained within the capsular bag while the IOL optic dislocated into the anterior chamber. Removal of the IOL and exchange with a sulcus-fixated single piece IOL was required. Conclusions: Nontraumatic haptic disinsertion from a three-piece IOL is a rare long-term complication after phacoemulsification.",

author = "Solano, {Joel M.} and Baratz, {Keith H.} and Mahr, {Michael A.} and Erie, {Jay C.}",

note = "Funding Information: This study was supported in part by Research to Prevent Blindness, Inc, New York, New York, and the Mayo Foundation, Rochester, Minnesota. The authors indicate no financial conflict of interest. All authors were involved in design of study collection, management, analysis and interpretation of data, and preparation of the data; collection of data; and management, statistical analysis and interpretation of the data, and preparation of the manuscript. Copyright: Copyright 2008 Elsevier B.V., All rights reserved.",

year = "2007",

month = mar,

doi = "10.1016/j.ajo.2006.10.036",

language = "English (US)",

volume = "143",

pages = "521--522",

journal = "American journal of ophthalmology",

issn = "0002-9394",

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T1 - Late Spontaneous Haptic Disinsertion From a Three-Piece Intraocular Lens

AU - Solano, Joel M.

AU - Baratz, Keith H.

AU - Mahr, Michael A.

AU - Erie, Jay C.

N1 - Funding Information: This study was supported in part by Research to Prevent Blindness, Inc, New York, New York, and the Mayo Foundation, Rochester, Minnesota. The authors indicate no financial conflict of interest. All authors were involved in design of study collection, management, analysis and interpretation of data, and preparation of the data; collection of data; and management, statistical analysis and interpretation of the data, and preparation of the manuscript. Copyright: Copyright 2008 Elsevier B.V., All rights reserved.

PY - 2007/3

Y1 - 2007/3

N2 - Purpose: To report two cases of spontaneous, late-onset haptic disinsertion from a three-piece posterior chamber intraocular lens (IOL). Design: Interventional case reports. Methods: Two eyes of two patients had uncomplicated phacoemulsification and presented 16 and 20 years after surgery with spontaneous, nontraumatic haptic disinsertion from a three-piece IOL. Results: In one case, the disinserted haptic dislocated into the anterior chamber while the IOL optic-single haptic complex remained centered and supported within the capsular bag. Cystoid macular edema was present, but resolved after removal of the disinserted haptic. In the second case, the disinserted haptic remained within the capsular bag while the IOL optic dislocated into the anterior chamber. Removal of the IOL and exchange with a sulcus-fixated single piece IOL was required. Conclusions: Nontraumatic haptic disinsertion from a three-piece IOL is a rare long-term complication after phacoemulsification.

AB - Purpose: To report two cases of spontaneous, late-onset haptic disinsertion from a three-piece posterior chamber intraocular lens (IOL). Design: Interventional case reports. Methods: Two eyes of two patients had uncomplicated phacoemulsification and presented 16 and 20 years after surgery with spontaneous, nontraumatic haptic disinsertion from a three-piece IOL. Results: In one case, the disinserted haptic dislocated into the anterior chamber while the IOL optic-single haptic complex remained centered and supported within the capsular bag. Cystoid macular edema was present, but resolved after removal of the disinserted haptic. In the second case, the disinserted haptic remained within the capsular bag while the IOL optic dislocated into the anterior chamber. Removal of the IOL and exchange with a sulcus-fixated single piece IOL was required. Conclusions: Nontraumatic haptic disinsertion from a three-piece IOL is a rare long-term complication after phacoemulsification.

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Late Spontaneous Haptic Disinsertion From a Three-Piece Intraocular Lens

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