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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References
Tappin MJ, Larkin DF (2000) Factors leading to lens implant decentration and exchange. Eye (Lond) 14(Pt 5):773–776
Yarangumeli A, Alp MN, Kural G (2012) Single-suture scleral fixation of subluxated foldable intraocular lenses. Eur J Ophthalmol 22:547–553
Kratz RP (1979) Complications associated with posterior chamber lenses. Ophthalmology 86:659–661
Pueringer SL, Hodge DO, Erie JC (2011) Risk of late intraocular lens dislocation after cataract surgery, 1980-2009: a population-based study. Am J Ophthalmol 152:618–623
Cionni RJ, Snyder ME, Osher RH (2001) Cataract surgery. In: Tasman W, Jaeger EA (eds) Duanes Ophthalmology on CD-ROM, vol 6. Lippincott Williams Wilkins, Philadelphia, pp 303–563
Ganekal S, Venkataratnam S, Dorairaj S, Jhanji V (2012) Comparative evaluation of suture-assisted and fibrin glue-assisted scleral fixated intraocular lens implantation. J Refract Surg 28:249–252
Aurich H, Korte P, Wirbelauer C, Häberle H, Pham DT (2007) [Iris sutures for refixation of decentered intraocular lenses]. Klin Monbl Augenheilkd 224:28–31
Hayashi K, Hirata A, Hayashi H (2007) Possible predisposing factors for in-the-bag and out-of-the-bag intraocular lens dislocation and outcomes of intraocular lens exchange surgery. Ophthalmology 114:969–975
Gimbel HV, DeBroff BM (2004). Intraocular lens optic capture. J Cataract Refract Surg. 30:200–206. Review
Lee JE, Ahn JH, Kim WS, Jea SY (2010) Optic capture in the anterior capsulorhexis during combined cataract and vitreoretinal surgery. J Cataract Refract Surg 36:1449–1452
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Gupta, S., Khokhar, S. & Agarwal, T. A case of decentered IOL managed with optic buttonholing. Int Ophthalmol 34, 1189–1192 (2014). https://doi.org/10.1007/s10792-014-0001-2
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DOI: https://doi.org/10.1007/s10792-014-0001-2