Trans pars plana safety basket suture helpful in malpositioned IOL cases

The reported occurrence of IOL dislocation after cataract surgery varies from 0.05% to 1.8%. Surgical correction of malpositioned IOLs can be challenging even for the most experienced cataract surgeon. A complete clinical evaluation, including a detailed history, and a dilated exam are essential parts of the decision-making process as to whether or not to surgically intervene in a particular case. It is important to have the patient lie flat and assess the extent of posterior IOL fallback in the supine position.In some mild IOL malposition cases, pharmacologic pupillary manipulation may suffice, while in other cases, surgical intervention may be needed to relieve the patient’s symptoms.