title: Repositioning a decentered intraocular lens with 4 haptics.
abstract: We describe a technique to reposition a decentered 4-haptic intraocular lens (IOL). Using an ophthalmic viscosurgical device, the haptic with the worst distortion is dissected from the capsular bag and pulled outside the bag. The opposite haptic (180 degrees away) is also dissected and placed in front of the anterior capsule. The remaining 2 haptics are left in the capsular bag. With this repositioning, the 2 haptics in the bag limit the IOL movement, the 2 haptics outside the bag are no longer distorted, and the IOL is centered. We present 2 cases in which this technique was used to reposition decentered 4-haptic IOLs.
authors.affiliation: From Shanxi Eye Hospital (J. Liu, W. Liu, Jia, Wang), Taiyuan, China, and Cullen Eye Institute (Al-Mohtaseb, Wang), Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA. Electronic address: jieweiliu1967@sina.com.
authors.forename: Jiewei
authors.initials: J
authors.lastname: Liu
authors.affiliation: From Shanxi Eye Hospital (J. Liu, W. Liu, Jia, Wang), Taiyuan, China, and Cullen Eye Institute (Al-Mohtaseb, Wang), Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA.
authors.forename: Wenjie
authors.initials: W
authors.lastname: Liu
authors.affiliation: From Shanxi Eye Hospital (J. Liu, W. Liu, Jia, Wang), Taiyuan, China, and Cullen Eye Institute (Al-Mohtaseb, Wang), Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA.
authors.forename: Yading
authors.initials: Y
authors.lastname: Jia
authors.affiliation: From Shanxi Eye Hospital (J. Liu, W. Liu, Jia, Wang), Taiyuan, China, and Cullen Eye Institute (Al-Mohtaseb, Wang), Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA.
authors.forename: Zaina N
authors.initials: ZN
authors.lastname: Al-Mohtaseb
authors.affiliation: From Shanxi Eye Hospital (J. Liu, W. Liu, Jia, Wang), Taiyuan, China, and Cullen Eye Institute (Al-Mohtaseb, Wang), Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA.
authors.forename: Li
authors.initials: L
authors.lastname: Wang
mesh_terms: D060437:Artificial Lens Implant Migration / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage; D019654:Lens Implantation, Intraocular; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D018918:Phacoemulsification; D012086:Reoperation; D041623:Tomography, Optical Coherence; D055675:Viscosupplements / Q000008:administration & dosage; D014792:Visual Acuity / Q000502:physiology
chemical_list: D055675:Viscosupplements; D006820:Hyaluronic Acid