title: A case of decentered IOL managed with optic buttonholing.
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.
authors.affiliation: Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, 110029, India.
authors.forename: Shikha
authors.initials: S
authors.lastname: Gupta
authors.forename: Sudarshan
authors.initials: S
authors.lastname: Khokhar
authors.forename: Tushar
authors.initials: T
authors.lastname: Agarwal
mesh_terms: D002387:Cataract Extraction; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*; D011475:Prosthesis Failure; D013536:Suture Techniques; D016896:Treatment Outcome