Haptic-induced recurrent vitreous hemorrhage and increased intraocular pressure with a hydrophobic acrylic intraocular lens.
A 72-year-old white woman had phacoemulsification with implantation of a hydrophobic acrylic single-piece intraocular lens (IOL) (AcrySof SA60AT, Alcon) in the right eye. A few weeks after surgery, she reported episodes of blurred vision due to recurrent vitreous hemorrhage, which got worse over time. The increased intraocular pressure (IOP) noted after surgery was controlled with minimal topical treatment. The superior haptic of the hydrophobic acrylic IOL was displaced from the capsular bag over the anterior capsule. The displaced haptic was amputated 16 months after cataract surgery. The episodes of blurred vision vanished completely, and the IOP returned to normal levels without therapy.
Trindade
Fernando C
FC
Federal University of Minas Gerais, Belo Horizonte, Brazil. fernandotrindade@mac.com
D000180:Acrylic Resins; D000368:Aged; D005260:Female; D006801:Humans; D007429:Intraocular Pressure; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular / Q000009:adverse effects*; D033401:Microscopy, Acoustic; D009798:Ocular Hypertension / Q000209:etiology*; D018918:Phacoemulsification; D012008:Recurrence; D014786:Vision Disorders / Q000209:etiology; D014792:Visual Acuity; D014823:Vitreous Hemorrhage / Q000209:etiology*
D000180:Acrylic Resins