Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
ISSN: 2155-9570
Department of Ophthalmology, Research Department Clínica La Luz, Lima-Perú, Av. Arequipa 1148, Lima, Peru
Case Report
Late Endophthalmitis Associated with Haptic Exposure after an Intrascleral Fixation Yamane Technique
Author(s): Fermín Silva Cayatopa*, Ana Luisa González Méndez, Robinson Barrientos Ortiz and Sergio Alfredo Sánchez Cueva
A 62-years-old man who underwent cataract surgery coupled with intraocular lens implantation with the Yamane 2-haptic
intrascleral fixation technique (ISF IOL) due to a history of blunt ocular trauma, was referred to our department due to
pain and vision loss, 8 weeks after his operation. The patient presented visual acuity of light perception of the right eye,
conjunctival hyperemia, hypopyon, vitritis, and 2 exposed PMMA flanges throughout the conjunctiva.
Endophthalmitis was diagnosed, followed by urgent treatment with vitreous and anterior chamber puncture and intravitreal
injections of antibiotics and steroids. The cultures revealed Staphylococcus epidermidis infection which was resolved in a few
weeks; with notable improvement in final visual acuity.
The SF IOL with 2 monoflex PMMA flanges has gained popularity in the last ten years; a rare complic.. View More»