ESCRS - POCAT213 - Diagonal Haptic Capture Of An Acrylic Intraocular Lens - Longterm Efficacy And Safety

Diagonal Haptic Capture Of An Acrylic Intraocular Lens - Longterm Efficacy And Safety

Published 2026 - 44th Congress of the ESCRS

Reference: POCAT213 | Type: Free paper | DOI: 10.82333/bvny-d039

Authors: Prof. Dr Suphi Taneri* 1 , Mrs Anika Förster 2 , Dr Mira Grigat 2 , Prof. Dr H. Burkhard Dick 3

1Eyedepartment at St. Francis Hospital ,Center for Refractive Surgery,Muenster,Germany;Ruhr-University Bochum,Bochum,Germany, 2Eyedepartment at St. Francis Hospital ,Center for Refractive Surgery,Muenster,Germany, 3Ruhr-University Bochum,Bochum,Germany

Purpose

To evaluate the long-term visual outcomes, stability, and safety of diagonal haptic capture (DHC) of a 4-haptic hydrophilic acrylic intraocular lens (Akreos adapt, Bausch&Lomb) in eyes with posterior capsule rupture and an intact anterior capsulorhexis.

Setting

Single tertiary referral center.

Methods

Medical records were reviewed for patients who underwent cataract surgery complicated by posterior capsule rupture and in whom DHC was used for IOL fixation between 2015 and 2023. Twenty eyes of 20 patients were identified. Fellow eyes with uneventful in-the-bag implantation of the same IOL model served as controls.

Results

Median follow-up was 2 years (mean 2.6±2.1 years; range 0–6 years) based on data from referring ophthalmologists, and 8 years (mean 6.0±2.8 years; range 2–9 years) for patients examined at the study center. Intraocular pressure were comparable between groups, with no need of any glauboma medication. Mean postoperative corrected distance visual acuity did not differ significantly between DHC eyes and fellow eyes (p>0.4).  All IOLs remained well centered with normal tilt throughout follow-up. No cases of pigment dispersion glaucoma, uveitis–glaucoma–hyphema syndrome, pseudophacodonesis, or late IOL dislocation were observed. 

Conclusions

Diagonal haptic capture of a 4-haptic hydrophilic acrylic IOL provided stable long-term fixation, satisfactory visual and refractive outcomes, and a low incidence of complications. However, these results may be IOL-specific.