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OPHTHALMIC IMAGE
Year : 2021  |  Volume : 1  |  Issue : 4  |  Page : 869

Opacified plate haptics in visual axis behind a second intraocular lens


Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India

Date of Web Publication09-Oct-2021

Correspondence Address:
Dr. Amber Amar Bhayana
Dr R P Centre, AIIMS, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_601_21

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How to cite this article:
Bhayana AA, Khokhar SK, Prasad P, Mazumder SA. Opacified plate haptics in visual axis behind a second intraocular lens. Indian J Ophthalmol Case Rep 2021;1:869

How to cite this URL:
Bhayana AA, Khokhar SK, Prasad P, Mazumder SA. Opacified plate haptics in visual axis behind a second intraocular lens. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Oct 28];1:869. Available from: https://www.ijoreports.in/text.asp?2021/1/4/869/327699



A 60-year-old female presented with opacified plate haptics in the visual axis in addition to a complete intraocular lens (IOL) in situ [Figure 1]a and [Figure 1]b. As per previous surgical records, she developed complete opacification[1] of her first IOL (foldable hydrophilic acrylic) for which the IOL was cut surgically at both optic haptic junctions, and the optic was explanted leaving the plate haptics in a bag. A three-piece IOL was put in the sulcus as a replacement. Now she presented with opacified haptics dislocated into the visual axis (also seen on optical coherence tomography) [Figure 1]c. The opacified haptics were surgically explanted leaving the complete normal three-piece IOL in the sulcus.
Figure 1: Slit-lamp photograph showing (a) pseudophakia (white arrow) and opacified plate haptics (blue arrow); (b) retroillumination of the same; and (c) anterior segment optical coherence tomography through section showing the IOL (white arrow) and opacified haptics (blue arrow)

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To conclude, we report the in situ presence of two IOLs: one in the form of opacified plate haptics causing visual obstruction behind another normal three-piece IOL that required surgical intervention.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Gupta G, Goyal P, Bal A, Jain AK, Malhotra C. Pearly white intraocular lens opacification – “Tertiary cataract”. Indian J Ophthalmol Case Rep2020;68:188-9.  Back to cited text no. 1
    


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