Klin Monbl Augenheilkd
DOI: 10.1055/a-2730-1249
Der interessante Fall

Distal IOL Haptic Detachment and Intracorneal Deposition of a Small Plunger Fragment from the Injector During Cataract Surgery

Distaler Abriss der Haptik einer Intraokularlinse und intrakorneale Ablagerung eines kleinen Fragments vom Stempel des Linseninjektors während einer Kataraktoperation

Authors

  • Heinrich Gerding

    Department of Ophthalmology, Pallas Kliniken AG, Olten, Switzerland

Introduction

Phacoemulsification of the crystalline lens using micro-incision techniques, in combination with the implantation of folded hydrophilic or hydrophobic acrylic intraocular lenses, has become the global gold standard in cataract surgery.

However, there is a relative paucity of published data regarding clinically relevant mechanical damage occurring during the handling and implantation of contemporary intraocular lenses and associated injector systems [1], [2], [3], [4], [5], [6]. This case report describes a partial detachment of one of the lens haptics during implantation, as well as the long-term presence of a particle originating from the injector plunger observed postoperatively.



Publication History

Received: 26 September 2025

Accepted: 07 October 2025

Article published online:
02 December 2025

© 2025. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany