Horizontal Haptic Punch and Rescue of a Toric IOL

Dr. Morgan Micheletti presents a case of an intraocular, horizontal haptic punch and rescue with scleral fixation of a toric IOL on axis. In the originally described punch-and-rescue technique, the approach was to create a hole in the haptic-optic junction. One possible limitation of that approach is the risk of tilt, given the perpendicular plane of the suture to the IOL. In this case, the haptics were punched in a horizontal fashion and a double flange was placed in-plane with the haptics, which reduces tilt. While technically more challenging, this approach may improve outcomes in cases of dislocated toric or advanced-technology IOLs.

Relevant Financial Disclosures: Dr. Micheletti has a patent pending for this device.