Bilateral Haptic Disinsertion In A Three-Piece Intraocular Lens Managed With Green Endo Laser Welding: A Case Report
Published 2024 - 42nd Congress of the ESCRS
Reference: CC01.01 | Type: Case Report | DOI: 10.82333/gze1-as68
Authors: Noha Fawky* 1 , Hams Samy 1 , Ahmed Assaf 2
1Ophthalmology,Watany Eye Hospital,Cairo,Egypt, 2Ophthalmology,Ain Shams University,Cairo,Egypt;Ophthalmology,Watany Eye Hospital,Cairo,Egypt
Purpose
This case report presents a unique occasion of bilateral haptic disinsertion from a three-piece intraocular lens (IOL), which was successfully united using Green Endo laser welding.
Setting
An 85-year-old male presented with bilateral haptic slippage of a three-piece IOL after uneventful flanged intrascleral haptic fixation. The haptic flanges were noticed to be fixed to the sclera on the nasal and temporal sides, while the IOL optic could be clearly found resting on the retina by ultrawide fundus photos.
Report of case
The IOL was successfully retrieved into the anterior chamber after posterior vitrectomy, and the haptics of the IOL could be sequentially introduced into its original track in the IOL optic and fixed by welding the haptics with a green endo laser with the power of 250 mw. A significant IOL decentration was noticed, which was managed with the deformation of one of the optics using the endo laser until a satisfactory decentration could be achieved under the operating microscope.
Conclusion/Take home message
For the very rare complication of bilateral haptic dislocation from a three- piece IOL, green endo laser is a novel intervention to weld the haptics back into the IOL haptic junction.