Bilateral intraocular lens subluxation secondary to haptic angulation.
An 82-year-old man had uneventful phacoemulsification with bilateral implantation of a hydrophilic acrylic, single-piece intraocular lens (IOL) (ACR6D SE, Laboratoires Cornéal). Five years later, simultaneous and bilateral IOL subluxations occurred. In both eyes, the subluxation was situated on the side of one haptic that had moved forward (temporal area in the right eye and superior area in the left eye). In the right eye, the haptic-capsular bag was entrapped by the pupil and produced endothelial damage. A transscleral suture was placed over and under the subluxated haptic through the anterior and posterior capsules to capture the haptic. The haptic was then sutured to the sclera. No postoperative complications developed. We hypothesize that 10-degree angulated and broad haptic junctions can lead to zonular damage and IOL subluxation.
Moreno-Montañés
Javier
J
Department of Ophthalmology, Clínica Universitaria de Navarra, Universidad de Navarra, Avenida Pio XII 36, Pamplona, Navarre, Spain. jmoreno@unav.es
Fernández-Hortelano
Ana
A
Caire
Josemaría
J
D000368:Aged; D000369:Aged, 80 and over; D005548:Foreign-Body Migration / Q000209:etiology* / Q000601:surgery; D007839:Functional Laterality; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D018918:Phacoemulsification; D011475:Prosthesis Failure; D011681:Pupil Disorders / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D012590:Sclera / Q000601:surgery; D013536:Suture Techniques