Acute haptic-induced pigmentary glaucoma with an AcrySof intraocular lens

A 49-year-old man had uneventful endocapsular phacoemulsification with in-the-bag implantation of,an AcrySof(R) SA60AT single-piece intraocular lens (IOL) (Alcon) in the right eye. Twenty-seven days postoperatively, he presented-with, ocular pain, intraocular pressure of 48 mm Hg, 360 degrees of hyperpigmentation of the trabecular meshwork, and iris pigment epithelial atrophy. in the region of the upper temporal haptic, which had dislocated into the sulcus. The patient made an excellent recovery following IOL removal and exchange. Scanning electron microscopy of the explanted IOL demonstrated that the haptic had a I rough lateral surface and anterolateral edge. We do not think this IOL should. be implanted in the sulcus (C) 2002 ASCRS and ESCRS.