title: Haptic breakage after transscleral fixation of a single-piece acrylic intraocular lens.
abstract: OBJECTIVE
  To report the case of a patient with a damaged haptic of an acrylic intraocular lens (IOL) after transscleral IOL fixation.
  
  
  METHODS
  This is a retrospective and descriptive case report.
  
  
  RESULTS
  A 40-year-old man presented with sudden visual loss in the left eye. He had undergone phacoemulsification/aspiration and IOL implantation 3 years previously and IOL repositioning with transscleral fixation 2 years before the initial visit. His visual acuity was 0.3 in the left eye due to corneal edema caused by a foreign body, i.e., the severed haptic tip of the single-piece acrylic IOL, which was surgically removed. The IOL itself was tilted and therefore explanted. The surface of the tip of the haptic suggested that the monofilament suture thread had exerted continuous force across the haptic.
  
  
  CONCLUSIONS
  The haptics of acrylic IOLs can be damaged after transscleral fixation.
authors.affiliation: Department of Ophthalmology, National Hospital Organization, National Tokyo Medical Center, Tokyo, Japan ; Laboratory of Visual Physiology, National Institute of Sensory Organs, National Tokyo Medical Center, Tokyo, Japan.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Tanaka
authors.affiliation: Department of Ophthalmology, National Hospital Organization, National Tokyo Medical Center, Tokyo, Japan ; Laboratory of Visual Physiology, National Institute of Sensory Organs, National Tokyo Medical Center, Tokyo, Japan ; Department of Ophthalmology, Keio University, School of Medicine, Tokyo, Japan ; UCL Institute of Ophthalmology, London, UK.
authors.forename: Kaoru
authors.initials: K
authors.lastname: Fujinami
authors.affiliation: Department of Ophthalmology, National Hospital Organization, National Tokyo Medical Center, Tokyo, Japan ; Laboratory of Visual Physiology, National Institute of Sensory Organs, National Tokyo Medical Center, Tokyo, Japan.
authors.forename: Ken
authors.initials: K
authors.lastname: Watanabe
authors.affiliation: Department of Ophthalmology, National Hospital Organization, National Tokyo Medical Center, Tokyo, Japan ; Laboratory of Visual Physiology, National Institute of Sensory Organs, National Tokyo Medical Center, Tokyo, Japan.
authors.forename: Toru
authors.initials: T
authors.lastname: Noda
authors.affiliation: Department of Ophthalmology, National Hospital Organization, National Tokyo Medical Center, Tokyo, Japan ; Laboratory of Visual Physiology, National Institute of Sensory Organs, National Tokyo Medical Center, Tokyo, Japan.
authors.forename: Kunihiko
authors.initials: K
authors.lastname: Akiyama
keywords: Acrylic intraocular lens; Intraocular lens; Intraocular lens damage; Transscleral fixation