The Bausch and Lomb LI61AO Bent Haptic. How we fix it.

Our go-to monofocal lens is the Bausch and Lomb LI61AO.

The optics are spectacular.

There is on occasion an issue where the haptics might be bent during insertion of the lens.

When this situation happens, here is how I typically fix this situation.

In this case, the leading haptic is trapped between the optic and the injector causing the leading haptic to be bent.

If we place the lens into the capsular bag with a bent haptic, the lens will be decentered.

Because the LI61AO is an aspheric lens, small amounts of lens decentration are inconsequential.

But we still want the lens to be as centered as possible.

So we use our lens chopper to rotate the IOL to bring the bent haptic close to the primary incision, then tease the haptic out of the eye.

Then using two forceps, we bend the haptic back into the normal conformation.

Once the haptic shape is normalized, then we place the IOL and haptics back into the capsular bag.

During irrigation and aspiration we confirm that the IOL is well centered.

I’ve performed this maneuver hundreds of times over the past decade and have not noticed any long-term issues with these patients. The lens seems to stay very well centered long-term.

I hope this video helps give you a solution if you encounter this situation during cataract surgery.

Financial disclosure: I have no financial interest in the products presented in this video.

Видео The Bausch and Lomb LI61AO Bent Haptic. How we fix it. канала Shannon Wong, MD