Case Reports

Scleral Fixation of a Silicone Plate Haptic Intraocular Lens in a Patient Showing Repeated Pupillary Intraocular Lens Capture

Kyoung Tak Ma, MD; Sung Soo Kim, MD, PhD; Gong Jae Seong, MD, PhD; Hyung Keun Lee, MD, PhD and Chan Yun Kim, MD, PhD

ABSTRACT

A 39-year-old man with Marfan syndrome underwent scleral fixation using a three-piece foldable intraocular lens and experienced repeated pupillary intraocular lens captures secondary to a pliable iris. As a result, the patient needed an additional pupilloplasty. In the opposite eye, a silicone plate haptic intraocular lens was used for scleral fixation because it was thought that the plate design could prevent pupillary intraocular lens capture, even in cases involving a pliable iris. At the 27-month follow-up examination, the patient showed good centration of the intraocular lens in the eye that used the silicone plate haptic intraocular lens without pupillary intraocular lens capture. [Ophthalmic Surg Lasers Imaging 2008;39:335-338.]

AUTHORS

From Siloam Eye Hospital (KTM) and the Institute of Vision Research (SSK, GJS, HKL, CYK), Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.

Accepted for publication January 9, 2008.

Address correspondence to Chan Yun Kim, MD, PhD, Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, 134 Shinchon-dong, Sodaemun-gu, Seoul, Korea, 120-752.