Exposure of haptic of posterior chamber intraocular lens after sutureless intrascleral fixation

BMC Ophthalmology

Case Report

Mineo Kondo¹  Yoshitsugu Matsui¹  Hisashi Matsubara¹  Tsukasa Hanemoto² 

[1] Department of Ophthalmology, Mie University Graduate School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan;Kozawa Eye Hospital, Ibaragi, Japan;

关键词: Herpes Zoster;    Endophthalmitis;    Intraocular Lens;    Scleritis;    Scleral Flap;   

DOI  :  10.1186/s12886-015-0102-3

 received in 2015-04-14, accepted in 2015-08-06,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundA technique of sutureless intrascleral fixation of an intraocular lens (IOL) in an eye that lacks a posterior capsular support has been reported. The advantage of this technique was that the suture-related complications did not develop. However, the long-term complications of a sutureless IOL implantation have not been reported.Case presentationA 75-years-old man had a sutureless intrascleral fixation (Y-fixation) of an IOL 4 months before our examination. The nasal haptic became exposed and the temporal haptic was seen in the subconjunctiva. The tilted IOL was removed and replaced by a posterior chamber IOL that was sutured to the sclera. At the 6 months examination, the eye was quiet and the IOL was stable.ConclusionWe suggest that the exposure of the nasal haptic of an IOL that was implanted by sutureless intrascleral fixation (Y-fixation) was due to poor surgical technique and/or the erosion of a fragile sclera. Thus, eyes should be carefully and frequently monitored after sutureless intrascleral posterior chamber IOL implantation.

【 授权许可】

CC BY   
© Matsui et al. 2015