Klin Monbl Augenheilkd 2023; 240(04): 446-448
DOI: 10.1055/a-2004-5423
Der interessante Fall

Partial Loss of Lens Haptic during Injection of Hydrophilic Intraocular Lens

Partieller Verlust einer Linsenhaptik bei Injektion einer hydrophilen Intraokularlinse
Heinrich Gerding
1   Department of Ophthalmology, Pallas Kliniken AG, Olten, Switzerland
2   Department of Ophthalmology, University of Münster Faculty of Medicine, Münster, Germany
› Institutsangaben

Introduction

The use of foldable intraocular lenses (IOLs), which can be implanted through relatively small size injectors, has become a widely used standard technique of cataract surgery. It seems that the technology of lens folding and delivery through small gauge shooters has progressed nearly to the status of perfection, as can be concluded from the fact that only very few reports on technical problems or damage of lenses or injectors were published in recent years. This case report describes the rare observation of partial haptic loss encountered during injection of a hydrophilic IOL.



Publikationsverlauf

Eingereicht: 10. Oktober 2022

Angenommen: 28. Dezember 2022

Artikel online veröffentlicht:
25. April 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Pfister DR. Stress fractures after folding an acrylic intraocular lens. Am J Ophthalmol 1995; 121: 572-574
  • 2 Carlson KH, Johnson DW. Cracking of acrylic intraocular lens. Ophthalmic Surg Lasers 1995; 26: 572-573
  • 3 Balasubramanya R, Rani A, Dada T. Forcepts-induced cracking of a single-piece acrylic foldable intraocular lens. Ophthalmic Surg Laser Imaging 2003; 34: 306-307
  • 4 Vrabec PM, Syverud JC, Burgess CJ. Forceps-induced scratching of a foldable acrylic intraocular lens. Arch Ophthalmol 1996; 114: 777
  • 5 Milazzo S, Turut P, Blin H. Alterations to the AcrySof intraocular lens during folding. J Cataract Refract Surg 1996; 22: 1351-1354
  • 6 Kohnen T, Magdowski G, Koch DD. Scanning electron microscopic analysis of foldable acrylic and hydrogel intraocular lenses. J Cataract Refract Surg 1996; 22: 1342-1350
  • 7 Erie JC, Newman B, Mahr MA. et al. Acrylic intraocular lens damage after folding using a forceps insertion technique. J Cataract Refract Surg 2010; 36: 483-487
  • 8 Faschinger WC. Surface abnormalities on hydrophilic acrylic intraocular lenses implanted by an injector. J Cataract Refract Surg 2001; 27: 845-849
  • 9 Harsum S, Mann S, Clatworthy I. et al. An investigation of intraocular lens damage and foreign bodies using an injectable hydrophilic acrylic lens implant. Eye 2010; 24: 152-157
  • 10 Cecchini P, DʼAloisio R, De Giacinto C. et al. Scannin electron microscopy study of different one-piece foldable acrylic intraocular lenses after injection through microincisional cataract surgery cartridges. Int Ophthalmol 2020; 40: 369-376
  • 11 Myers TD, Olson RJ. Comparison of the effects of viscoelastic agents on clinical properties of the Unfolder lens injection system. J Cataract Refract Surg 1999; 25: 953-958
  • 12 Hesse Y, Freißler KA, Lang GK. Rasterelektronenmikroskopische Studie an je 12 Linsen zur Oberflächenqualität von zwei Typen faltbarer Acryllinsen – eine experimentelle Studie. Klin Monatsbl Augenheilkd 2001; 218: 682-687
  • 13 Stefaniu I, Nita N, Lazar S. et al. Acrylic IOL implantation with the Monarch II injector. Oftalmologia 2003; 59: 42-45
  • 14 Capitena CE, Gamett K, Pantcheva MB. Delayed presentation of retained acrylic intraocular lens (IOL) fragment after uncomplicated cataract surgery. Am J Ophthalmol Case Rep 2016; 3: 5-7
  • 15 Alasbali T. Risk of Breaking Hapitic of Trifocal IOL and Its Management. Middle East Afr J Ophthalmol 2016; 23: 321-322
  • 16 Koçluk Y, Alyamaç Sukgen E, Kasim B. et al. A practical and easy surgical technique for recovery of an incarcerated haptic. Int Ophthalmol 2019; 39: 2077-2081