Haptic fracture and dislocation of polyimide intraocular lens after neodymium: YAG laser capsulotomy: A case report.

We report a case of haptic fracture of polyimide intraocular lens (IOL) and its dislocation after neodymium:YAG (Nd:YAG) laser capsulotomy. To the best of our knowledge, this is the first report of both the fracture and dislocation of the IOL after laser posterior capsulotomy. A 78-year-old male was referred to our clinic with a history of decreased visual acuity after Nd:YAG laser posterior capsulotomy in the right eye. A dislocated IOL was observed on slit lamp examination. On slit-lamp examination, dislocated IOL with intact anterior capsulorrhexis margin was observed in the right eye. We removed the dislocated IOL and fixed a 3-piece IOL (Acrysof MN60AC, Alcon Laboratories, Inc) in the ciliary sulcus under retrobulbar anesthesia. After the operation, the observed uncorrected distance visual acuity (UCVA) was 20/20 and the measured intraocular pressure (IOP) was 18 mmHg; the IOL was fixed in the ciliary sulcus. Three-piece, silicone-polyimide haptics in IOLs can get fractured after Nd:YAG laser capsulotomy. Thus, it is suggested that sufficient haptic dilation should be ensured while performing Nd:YAG laser capsulotomy in patients with polyimide haptics. Moreover, a small-sized capsulotomy is likely to be helpful in such patients.

Citation

Jae Suk Kim, Min Ji Kang, Kyeong Do Jeong, Je Hyung Hwang. Haptic fracture and dislocation of polyimide intraocular lens after neodymium: YAG laser capsulotomy: A case report. Medicine. 2019 May;98(20):e15720

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PMID: 31096526

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