Exposure of haptic of posterior chamber intraocular lens after sutureless intrascleral fixation.
BACKGROUND
A technique of sutureless intrascleral fixation of an intraocular lens (IOL) in an eye that lacks a posterior capsular support has been reported. The advantage of this technique was that the suture-related complications did not develop. However, the long-term complications of a sutureless IOL implantation have not been reported.


METHODS
A 75-years-old man had a sutureless intrascleral fixation (Y-fixation) of an IOL 4 months before our examination. The nasal haptic became exposed and the temporal haptic was seen in the subconjunctiva. The tilted IOL was removed and replaced by a posterior chamber IOL that was sutured to the sclera. At the 6 months examination, the eye was quiet and the IOL was stable.


CONCLUSIONS
We suggest that the exposure of the nasal haptic of an IOL that was implanted by sutureless intrascleral fixation (Y-fixation) was due to poor surgical technique and/or the erosion of a fragile sclera. Thus, eyes should be carefully and frequently monitored after sutureless intrascleral posterior chamber IOL implantation.
Department of Ophthalmology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan. footboyslim366@gmail.com.
Yoshitsugu
Y
Matsui
Department of Ophthalmology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan. hmatsu@clin.medic.mie-u.ac.jp.
Hisashi
H
Matsubara
Kozawa Eye Hospital, Ibaragi, Japan. hanemoto@tb3.so-net.ne.jp.
Tsukasa
T
Hanemoto
Department of Ophthalmology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan. mineo@clin.medic.mie-u.ac.jp.
Mineo
M
Kondo
D000368:Aged; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D011475:Prosthesis Failure / Q000209:etiology*; D012086:Reoperation; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D014792:Visual Acuity