Editors' comment

IOL exchange or a piggyback IOL placement would be the first modality that comes to a surgeon ’s mind when handling a case as described. But this option is faced with the challenge that the patient may experience a refractive surprise again. Thus, we performed a pinhole pupilloplasty (PPP) to solve the refractive surprise rather than exchanging the IOL or placing a piggyback IOL (Video 1, available at https://jcrsjournal.org). The pinhole effect bars the peripheral rays arising due to corneal aberrations.
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Consultation Section: Refractive Source Type: research