Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance
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10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits

 

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The missing haptic: a case report of late postoperative recurrent vitreous hemorrhage

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Session Details

Session Title: Presented Poster Session: Pre/post-op special cases

Session Date/Time: Sunday 11/09/2016 | 15:00-16:30

Paper Time: 15:00

Venue: Poster Village: Pod 1

First Author: : S.Fraz√£o PORTUGAL

Co Author(s): :    L. Paris   J. Neves   R. Silva   M. Vila Franca   H. Nogueira   J. Henriques

Abstract Details

Purpose:

To report a surprising case of recurrent vitreous hemorrhage (VH) due to an Intra-ocular Lens (IOL) defect as a late postoperative cataract complication.

Setting:

Instituto Oftalmologia Dr. Gama Pinto, Lisbon, Portugal.

Methods:

An 84 year-old woman presented with an acute decrease in visual acuity and severe pain on her right eye. She had been submitted to cataract surgery 4 years prior to this event. During this postoperative period, several visits were reported for recurrent hypertensive uveitis and VH. On examination, visual acuity of the right eye was hand movements and the IOL was decentered. After pharmacologic mydriasis, the IOL was displaced into the anterior chamber and presented a surprising defect: the absence of one of its haptics. The VH was confirmed by ultrasound, with hyaloid detachment, and the haptic was not found.

Results:

A pars plana vitrectomy was done to treat the VH and the IOL was replaced. The missing haptic was not found during the vitrectomy, and there is no evidence of its presence on the anterior segment.

Conclusions:

Although IOL subluxation is not uncommon, the absence of one of its haptics is rather intriguing. The careful inspection of IOL structure and its correct placement is crucial for a successful cataract surgery.

Financial Disclosure:

NONE

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