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Medicine (Baltimore). 2019 May;98(20):e15720. doi: 10.1097/MD.0000000000015720.

Haptic fracture and dislocation of polyimide intraocular lens after neodymium: YAG laser capsulotomy: A case report.

Author information

1
Department of Ophthalmology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul.
2
Asan-si Health Center, Republic of Korea.

Abstract

RATIONALE:

We report a case of haptic fracture of polyimide intraocular lens (IOL) and its dislocation after neodymium:YAG (Nd:YAG) laser capsulotomy. To the best of our knowledge, this is the first report of both the fracture and dislocation of the IOL after laser posterior capsulotomy.

PATIENT CONCERNS:

A 78-year-old male was referred to our clinic with a history of decreased visual acuity after Nd:YAG laser posterior capsulotomy in the right eye. A dislocated IOL was observed on slit lamp examination.

DIAGNOSIS:

On slit-lamp examination, dislocated IOL with intact anterior capsulorrhexis margin was observed in the right eye.

INTERVENTIONS:

We removed the dislocated IOL and fixed a 3-piece IOL (Acrysof MN60AC, Alcon Laboratories, Inc) in the ciliary sulcus under retrobulbar anesthesia.

OUTCOMES:

After the operation, the observed uncorrected distance visual acuity (UCVA) was 20/20 and the measured intraocular pressure (IOP) was 18 mmHg; the IOL was fixed in the ciliary sulcus.

LESSONS:

Three-piece, silicone-polyimide haptics in IOLs can get fractured after Nd:YAG laser capsulotomy. Thus, it is suggested that sufficient haptic dilation should be ensured while performing Nd:YAG laser capsulotomy in patients with polyimide haptics. Moreover, a small-sized capsulotomy is likely to be helpful in such patients.

PMID:
31096526
DOI:
10.1097/MD.0000000000015720
[Indexed for MEDLINE]
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