Spontaneous exposure of angle-supported anterior chamber int
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A 68-year-old man presented with a 3-year history of red eye and sudden intensive gritty and burning sensations in his left eye after angle-supported anterior chamber intraocular lens (AC IOL) implantation. Examination revealed exposure of the AC IOL haptic tip through the interior corneal limbus. The patient had had ocular rosacea for many years but had not experienced any trauma since the AC IOL implantation. Anterior chamber IOL explantation, anterior pars plana vitrectomy, and posterior chamber suspended IOL implantation were performed to restore visual acuity; topical antibiotic and corticosteroid treatments were administered for the ocular rosacea. Surgical interventions were required to prevent ocular complications such as corneal endothelial decompensation and endophthalmitis. To our knowledge, spontaneous haptic tip exposure is rare in patients with AC IOL implantation. In this case, it might have been due to chronic inflammation caused by ocular rosacea.

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