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 Table of Contents  
OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 621

Iris-penetrated haptic of an in-bag intraocular lens with fibrotic proliferation


1 Department of Ophthalmology, Linkou Medical Center, Chang Gung Memorial Hospital; College of Medicine, Chang Gung University; Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan
2 Department of Ophthalmology, Linkou Medical Center, Chang Gung Memorial Hospital; College of Medicine, Chang Gung University, Taoyuan, Taiwan

Date of Web Publication13-Apr-2022

Correspondence Address:
Wei-Chi Wu
Department of Ophthalmology, Linkou Medical Center, Chang Gung Memorial Hospital, No. 5, Fu-Hsin Rd., Taoyuan
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1024_21

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How to cite this article:
Kang EY, Wu WC. Iris-penetrated haptic of an in-bag intraocular lens with fibrotic proliferation. Indian J Ophthalmol Case Rep 2022;2:621

How to cite this URL:
Kang EY, Wu WC. Iris-penetrated haptic of an in-bag intraocular lens with fibrotic proliferation. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 May 19];2:621. Available from: https://www.ijoreports.in/text.asp?2022/2/2/621/342865



Occurrence of iris penetration of an in-bag intraocular lens haptic after cataract surgery without prior history of traumatic events in a child is rare. This is a 2-year-old boy who received an uneventful cataract surgery at one year old for congenital cataract in the right eye, and intraocular lens was implanted (enVista MX60; Bausch & Lomb, Rochester, NY, USA). Posterior capsular opacity developed rapidly and the patient underwent removal of the opacity. Iris-penetrated haptic of the intraocular lens surrounding with fibrotic bands was noticed during the surgery [Figure 1]a and [Supplementary Video 1][Additional file 1]. Reposition of the haptic was done smoothly and the fibrotic bands were removed. The hematoxylin and eosin staining of the bands showed fibrotic proliferation and infiltration of inflammatory cells [Figure 1]b, suggesting an inflammatory response following the chafing of the iris by the haptic.[1] The fibrotic proliferation should be extracted to avoid further traction. A thorough evaluation of pediatric patients receiving cataract surgery is essential, especially of those who have atypical clinical presentations or trauma. Careful and gentle implantation and reposition of the intraocular lens during surgery and close follow-up after the surgery are also important.
Figure 1: (a) Image of the external eye during the operation shows an iris-penetrated haptic of the intraocular lens in the anterior chamber (arrows) with surrounding fibrotic proliferation. (b) The hematoxylin and eosin staining of the fibrotic proliferation demonstrates infiltration of neutrophils and lymphocytes, and edema

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Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Sousa DC, Leal I, Faria MY, Pinto LA. A rare manifestation of uveitis-glaucoma-hyphema syndrome. J Curr Glaucoma Pract 2016;10:76-8.  Back to cited text no. 1
    


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