Abstract
RATIONALE: The purpose of this study was to present the long-term outcomes of a monobloc multifocal intraocular lens (IOL) (ZEISS LISA tri 839MP) with a missing haptic segment in a patient with high myopia. PATIENT CONCERNS: A 51-year-old female with high myopia presented for cataract surgery. DIAGNOSES: The patient was diagnosed with cataracts in both eyes, with high myopia as a pre-existing condition. INTERVENTIONS: Phacoemulsification with implantation of a ZEISS LISA tri 839MP multifocal IOL was performed. During surgery, 1 haptic was torn and removed. The remaining 3 haptics of the plate-haptic-designed IOL were positioned in the capsular bag. OUTCOMES: Postoperative uncorrected distance visual acuity improved to 20/20 on the first day, with stable intraocular pressure and good centration of the IOL. Over the 3-year follow-up period, the IOL remained well-centered with no significant decentration, and the patient maintained stable visual acuity of 20/20. LESSONS: The ZEISS LISA tri 839MP multifocal IOL demonstrated long-term stability and favorable visual outcomes despite the missing haptic segment, suggesting that conservative management may be effective in similar cases.