The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

a

a

Displaced haptic

Photo by Dr. Ngo Chek Tung

This man complained of recent on-set right blurring of vision. He had had a right extracapsular cataract extraction and implant 10 years ago. Examination showed decentration of the IOL with dislocation of the superior haptic. It appeared that the cataract extraction had been complicated and a superior iridectomy was performed possibly from iris prolapse. The posterior capsule was intact.

 

The blurring of vision was likely to be the result of displacement of the IOL from progressive capsular fibrosis and the absence of superior iris allows the superior haptic to be pushed into the anterior chamber. The main risk to vision was corneal decompensation from recurrent rubbing of the endothelium by the haptic. He was advised to undergo re-centration of the IOL.

 

Dislocation of the superior haptic, absent superior iris and significant posterior capsular fibrosis.

Next Anterior Segment Case