TY - JOUR
T1 - Haptic Erosion Following Sutureless Scleral-fixated Intraocular Lens Placement
AU - Pakravan, Parastou
AU - Patel, Veshesh
AU - Chau, Viet
AU - Rohowetz, Landon
AU - Lai, James
AU - Fan, Kenneth C.
AU - Al-khersan, Hasenin
AU - Melo, Isabela M.
AU - Muni, Rajeev H.
AU - Tsao, Sean W.
AU - Kaplan, Richard
AU - Jung, Jesse J.
AU - Hoyek, Sandra
AU - Patel, Nimesh A.
AU - Kuriyan, Ajay E.
AU - Laura, Diana M.
AU - Mantopoulos, Dimosthenis
AU - Syed, Zeba A.
AU - Yannuzzi, Nicolas A.
N1 - Publisher Copyright:
© 2022 American Academy of Ophthalmology
PY - 2023/4
Y1 - 2023/4
N2 - Purpose: To describe the clinical features and visual outcomes of eyes with conjunctival haptic erosion after sutureless intrascleral (SIS) fixated intraocular lens (IOL) placement. Design: Retrospective case series. Subjects: Patients experiencing haptic erosion after SIS fixation between January 1, 2013, and March 1, 2022. Methods: A multicenter, multisurgeon, retrospective review. Main Outcome Measures: Clinical features, visual outcomes, and treatment options following haptic erosions after SIS fixation. Results: Nineteen eyes with haptic erosion were identified. The mean age at initial SIS fixation was 64 ± 12 years (range, 38–81 years). There were 5 (26%) eyes with a history of conjunctiva involving ocular surgery, including scleral buckle surgery and tube shunt surgery. Trocar-assisted fixation was performed in 15 (79%) eyes, whereas needle fixation was used in 4 (21%) eyes. Eighteen (95%) sets of haptics were flanged with a low temperature cautery. Seventeen (90%) sets of haptics were externalized superiorly and inferiorly, and 2 (10%) sets of haptics were externalized nasally and temporally. Haptics were covered by conjunctiva in 14 (74%) eyes and by scleral flap in 5 (26%) eyes. All patients experienced a single haptic erosion, of which 8 (43%) were located superiorly, 9 (47%) inferiorly, and 2 (10%) temporally. The mean interval between the initial SIS fixation and haptic erosion was 278 ± 437 days. After correction of the erosion, 18 (95%) eyes had a stable IOL at the last follow-up, with no recurrence of haptic erosion. In this series, there were no cases of endophthalmitis. Conclusions: Haptic erosion is a notable complication after SIS fixated IOL surgery but may be repaired with favorable visual outcomes. Careful evaluation of the conjunctiva should be considered before the surgery. Financial Disclosure(s): Proprietary or commercial disclosure may be found after the references.
AB - Purpose: To describe the clinical features and visual outcomes of eyes with conjunctival haptic erosion after sutureless intrascleral (SIS) fixated intraocular lens (IOL) placement. Design: Retrospective case series. Subjects: Patients experiencing haptic erosion after SIS fixation between January 1, 2013, and March 1, 2022. Methods: A multicenter, multisurgeon, retrospective review. Main Outcome Measures: Clinical features, visual outcomes, and treatment options following haptic erosions after SIS fixation. Results: Nineteen eyes with haptic erosion were identified. The mean age at initial SIS fixation was 64 ± 12 years (range, 38–81 years). There were 5 (26%) eyes with a history of conjunctiva involving ocular surgery, including scleral buckle surgery and tube shunt surgery. Trocar-assisted fixation was performed in 15 (79%) eyes, whereas needle fixation was used in 4 (21%) eyes. Eighteen (95%) sets of haptics were flanged with a low temperature cautery. Seventeen (90%) sets of haptics were externalized superiorly and inferiorly, and 2 (10%) sets of haptics were externalized nasally and temporally. Haptics were covered by conjunctiva in 14 (74%) eyes and by scleral flap in 5 (26%) eyes. All patients experienced a single haptic erosion, of which 8 (43%) were located superiorly, 9 (47%) inferiorly, and 2 (10%) temporally. The mean interval between the initial SIS fixation and haptic erosion was 278 ± 437 days. After correction of the erosion, 18 (95%) eyes had a stable IOL at the last follow-up, with no recurrence of haptic erosion. In this series, there were no cases of endophthalmitis. Conclusions: Haptic erosion is a notable complication after SIS fixated IOL surgery but may be repaired with favorable visual outcomes. Careful evaluation of the conjunctiva should be considered before the surgery. Financial Disclosure(s): Proprietary or commercial disclosure may be found after the references.
KW - Haptic erosion
KW - Sutureless scleral-fixated intraocular lens
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U2 - 10.1016/j.oret.2022.10.015
DO - 10.1016/j.oret.2022.10.015
M3 - Article
C2 - 36441084
AN - SCOPUS:85142708414
SN - 2468-6530
VL - 7
SP - 333
EP - 337
JO - Ophthalmology Retina
JF - Ophthalmology Retina
IS - 4
ER -