Abstract

Introduction: This case report presents a unique instance of bilateral haptic disinsertion from a 3-piece intraocular lens (IOL), which was successfully resolved using argon laser welding. Patient and Clinical Findings: An 85-year-old man presented with bilateral haptic slippage of a 3-piece IOL after uneventful flanged intrascleral haptic fixation. The haptic flanges were noticed fixed to the sclera on the nasal and temporal sides while the IOL optic could be clearly identified resting on the retina by ultra-wide fundus photographs. Diagnosis, Intervention, and Outcomes: The IOL could be 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 with a green endolaser with 250 mW. A significant decentration was noticed, which was managed with the deformation of one of the optics using the endolaser until a satisfactory decentration could be achieved under the operating microscope. Conclusions: Green endolaser can be used for welding of haptics into the IOL haptic as a new intervention for the rare complication of bilateral haptic disinsertion from a 3-piece IOL.

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