3096: the trick to fix this misloaded haptic

3096: the trick to fix this misloaded haptic

An eye surgery scene showing a misloaded haptic in the 'superman' configuration, with one haptic protruding. Text overlay indicates the misloaded haptic and mentions a bonus case of tough CTR insertion.

Applying the 7L rule during intraocular lens injection ensures correct optic and haptic orientation before the lens fully unfolds inside the capsular bag. When a leading haptic emerges misloaded or extended in a straight “Superman” position, real-time intervention with a second instrument or chopper prevents planar inversion or a twisted haptic. Inserting a chopper through the paracentesis to gently manipulate and flex the leading haptic into the proper curvature as it exits the injector tip re-establishes the normal 7-shaped leading haptic configuration. This proactive IOL haptic correction guides the IOL and both haptics safely into the capsular bag. Watch the video to see how using a second instrument inside the anterior chamber corrects a misloaded leading haptic during injection. What intraocular intra-incisional tricks do you use when an intraocular lens haptic emerges misfolded or flipped during insertion? Also stay tuned to the video for the second half where we feature a challenging CTR insertion. Please comment your thoughts below.

video link here

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