Modified intrascleral haptic fixation of the light adjustable lens in a case of spontaneous adult-onset bilateral lens subluxation

Chu Jian Ma; Craig C Schallhorn; Jay M Stewart; Julie M Schallhorn

doi:10.1016/j.ajoc.2023.101864

Modified intrascleral haptic fixation of the light adjustable lens in a case of spontaneous adult-onset bilateral lens subluxation

Am J Ophthalmol Case Rep. 2023 Jun 3:31:101864. doi: 10.1016/j.ajoc.2023.101864. eCollection 2023 Sep.

Authors

Chu Jian Ma¹, Craig C Schallhorn¹, Jay M Stewart¹, Julie M Schallhorn^{1

2}

Affiliations

¹ Department of Ophthalmology, University of California, San Francisco, San Francisco, CA, USA.
² Francis I. Proctor Foundation, University of California, San Francisco, San Francisco, CA, USA.

Abstract

Purpose: To describe the application of the light adjustable lens (LAL) using an intrascleral haptic fixation (ISHF) technique for the correction of aphakia and post-operative refractive error.

Observation: The LAL was placed using a modified trocar-based ISHF technique for visual rehabilitation following removal of bilateral cataracts in a patient with ectopia lentis. She ultimately obtained an excellent refractive outcome after adjustment with micro-monovision.

Conclusions and importance: Secondary intraocular lens placement has a much higher risk of residual ametropia than traditional in-the-bag lens placement. The ISHF technique with the LAL presents a solution for eliminating postoperative refractive error in patients requiring scleral-fixated lenses.

Keywords: Intrascleral haptic fixation; Lens subluxation; Light adjustable lens; Scleral-fixated intraocular lens; Yamane.

Publication types

Case Reports