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Case Reports
. 2014 Dec;34(6):1189-92.
doi: 10.1007/s10792-014-0001-2. Epub 2014 Sep 17.

A case of decentered IOL managed with optic buttonholing

Shikha Gupta  1 , Sudarshan Khokhar, Tushar Agarwal
Affiliations
Case Reports

A case of decentered IOL managed with optic buttonholing

Shikha Gupta et al. Int Ophthalmol. 2014 Dec.

Abstract

We describe an unusual case which presented with late lateral IOL decentration secondary to bag subluxation in the presence of a posterior capsular defect. Instead of approaching the case with the usual IOL exchange with iris-fixated or anterior chamber IOL or by fixating it to the sclera, a relatively non-invasive sutureless method of IOL re-centration was performed by buttonholing the optic into the posterior capsular defect. It enabled a perfect IOL centration with minimal incidence of astigmatism, inflammation, macular edema, secondary glaucoma, or corneal decompensation.

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