ArticleKorean journal of ophthalmology : KJO2026
A Novel Haptic Bending Technique to Correct Tilt after Flanged Intrascleral Intraocular Lens Fixation.
Article in Korean journal of ophthalmology : KJO, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTo describe a haptic bending adjustment technique for correcting persistent posterior intraocular lens (IOL) tilt after flanged intrascleral fixation and to evaluate its anatomical and optical outcomes.
methodsThis retrospective case series included four eyes with symptomatic postoperative IOL tilt following flanged intrascleral fixation. The haptics were first shortened and re-flanged, and an additional bend was created approximately 1 mm proximal to the haptic tip on the side corresponding to the posterior tilt. IOL tilt was quantified using Scheimpflug imaging, and refractive outcomes were analyzed using power-vector analysis of manifest refraction.
resultsPatient age ranged from 32 to 63 years, with a mean operative time of 25.5 ± 8.23 minutes. IOL tilt decreased from 6°-8° to 2°-4° and remained stable during follow-up. All eyes showed improved visual acuity and reduced refractive astigmatism without change in corneal astigmatism. No intraoperative complications, recurrent tilt, or reoperations occurred.
conclusionsHaptic bending combined with haptic shortening may provide a feasible option for correcting posterior IOL tilt after flanged intrascleral fixation without creating new scleral tunnels or exchanging the IOL.
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