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Related Experiment Video

Updated: Apr 23, 2026

Author Spotlight: Enhancing Visual Outcomes in Cataract Surgery: A Novel Technique to Prevent Posterior Capsular Opacification Through IOL Rotation

Author Spotlight: Enhancing Visual Outcomes in Cataract Surgery: A Novel Technique to Prevent Posterior Capsular Opacification Through IOL Rotation

Published on: July 7, 2023

A case of decentered IOL managed with optic buttonholing.

Shikha Gupta¹, Sudarshan Khokhar, Tushar Agarwal

¹Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, 110029, India.

International Ophthalmology

|September 18, 2014

Summary

A novel sutureless technique successfully recentered a dislocated intraocular lens (IOL) by utilizing a posterior capsular defect. This minimally invasive approach avoided complications associated with IOL repositioning.

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Published on: June 6, 2017

Area of Science:

Ophthalmology
Surgical Techniques
Intraocular Lens Implantation

Background:

Late lateral intraocular lens (IOL) decentration can occur due to bag subluxation, especially with a posterior capsular defect.
Traditional management involves IOL exchange or fixation to the iris or sclera, which can be invasive.

Observation:

An unusual case presented with late lateral IOL decentration secondary to bag subluxation and a posterior capsular defect.
A sutureless method of IOL re-centration was performed by buttonholing the optic into the existing posterior capsular defect.

Findings:

The non-invasive technique achieved perfect IOL centration.
This method resulted in minimal incidence of astigmatism, inflammation, macular edema, secondary glaucoma, or corneal decompensation.

Implications:

This technique offers a less invasive alternative for managing IOL decentration in specific cases.
It highlights the potential of utilizing existing capsular defects for sutureless IOL repositioning.
Further studies may explore the long-term efficacy and broader applicability of this approach.