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Spontaneous haptic malposition of a new single piece

Poster Details

First Author: B.Toygar TURKEY

Co Author(s):    O. Toygar   O. Yabas Kiziloglu   U. Aykan        

Abstract Details

Purpose:

To report the spontaneous haptic malposition of new single piece, 4-point fixation haptic design, microincisional hydrophobic posterior chamber (PC) acrylic intraocular lens (IOL) causing modest tilt and its management in 2 cases

Setting:

Bahcesehir University Medical Park Goztepe Hospital

Methods:

The medical reports of 2 eyes of 2 cataract patients with capsule bag fixated PC IOL dislocation were retrospectively reviewed. Pre-operative data included demographics, systemic or ocular disorders, history of trauma, previous intraocular surgery and pre-operative visual acuity. Outcome measures included the type of surgery, surgical complications, elevation of intraocular pressure, ocular inflammation, cystoid macular edema and IOL dislocation at 3 months or greater post-operatively.

Results:

The medical records of 2 eyes of two patients operated between March 2014 and April 2014 were evaluated. In one eye of one patient, a different PC IOL was implanted after the tilted PC IOL was explanted. In the one eye of the other patient, the tilted PC IOL was repositioned. No complication was developed during the follow-up period in any case. The stability and centration of the both IOLs were excellent during the follow-up period. No eyes had intraocular inflammation requiring long term medical treatment, new onset glaucoma or retinal detachment. Mean follow-up time was 6 months (range 6-6).

Conclusions:

Cataract surgeons should be aware of the increased risk for decentration and malposition of new single piece, 4-point fixation haptic design, microincisional hydrophobic acrylic IOL. Satisfactory results can be achieved by either IOL change or repositioning the tilted IOL.

Financial Disclosure:

NONE

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