Article Text

Download PDFPDF
Piggy back intraocular lens for the correction of buckling surgery-induced refractive error in pseudophakia
  1. Rajesh Sinha1,
  2. Reena Singh2,
  3. Vijay K Sharma1,
  4. Jeewan S Titiyal3
  1. 1RP Centre, AIIMS, Delhi, India
  2. 2All India Institute of Medical Sciences, New Delhi, India
  3. 3Department of Ophthalmology, Dr RP Centre, AIIMS, New Delhi, India
  1. Correspondence to Dr Reena Singh, reenasurvaar{at}


A 29-year-old man presented to us with bilateral pseudophakia with suboptimal vision in right eye. His uncorrected distance visual acuity (UDVA) on Snellen's chart was 6/36 and 6/9 in right eye (OD) and left eye (OS), respectively. It improved to 6/9 OD with −5.00DS/−0.50DC at 90° and 6/6 OS with −0.5DC at 100°. He had undergone buckling surgery 1 year back for rhegmatogenous retinal detachment in right eye and subsequently developed a myopic refractive error. A spherical piggyback intraocular lens (IOL; Rayner Sulcoflex, East Sussex) was implanted in the sulcus for refractive correction. The postoperative UDVA at 4 weeks was 6/6p. The intraocular pressure was normal and there was no significant endothelial cell loss. Piggyback IOLs can be an effective tool to correct the induced refractive error due to an increase in axial length following buckling surgery.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors RS was involved in planning, conduct, reporting, proof reading and finalisation of the case report. VKS and JST contributed to planning, proof reading and finalisation of the case report.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.