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A practical and easy surgical technique for recovery of an incarcerated haptic

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Abstract

Purpose

To present a surgical intervention for a posterior haptic trapped between the cartridge and plunger during intraocular lens (IOL) implantation.

Materials and methods

Posterior haptic incarceration was detected in 36 cases during implantation of a one-piece foldable IOL during cataract surgery with phacoemulsification. In 11 of the patients (Group 1), recovery was achieved by forcibly pulling out the incarcerated posterior haptic. In 25 cases (Group 2), the haptic was recovered by using an MVR knife to cut the cartridge tip from the bottom up parallel to the trapped haptic.

Results

In Group 1, tears were seen on the incarcerated haptic in all cases (100%). In Group 2, the procedure was successful in all 25 cases and there was no accidental cutting of the haptic. In all cases, the surgeries were completed with the recovered IOL in Group 2.

Conclusions

Posterior haptic incarceration in cataract surgery can be solved by the simple and easy method of cutting the cartridge tip from the bottom upwards and releasing the haptic.

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Ophthalmology, Adana Numune Training and Research Hospital, 01220, Yüreğir, Adana, Turkey

    Yusuf Koçluk, Emine Alyamaç Sukgen & Burcu Kasım

  2. Department of Ophthalmology, Gaziantep University School of Medicine, Gaziantep, Turkey

    Oğuzhan Saygılı

Authors
  1. Yusuf Koçluk
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  2. Emine Alyamaç Sukgen
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  3. Burcu Kasım
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  4. Oğuzhan Saygılı
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Corresponding author

Correspondence to Burcu Kasım.

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Conflict of interest

Yusuf Koçluk, Emine Alyamaç Sukgen, Burcu Kasım and Oğuzhan Saygılı declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Recovery of the incarcerated haptic (MP4 57538 kb)

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Koçluk, Y., Alyamaç Sukgen, E., Kasım, B. et al. A practical and easy surgical technique for recovery of an incarcerated haptic. Int Ophthalmol 39, 2077–2081 (2019). https://doi.org/10.1007/s10792-018-1047-3

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  • DOI: https://doi.org/10.1007/s10792-018-1047-3

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