Primary posterior optic buttonholing as a new standard-of-care: rationale, technique, advantages, and special indications - Takeaways - MDSpire

Primary posterior optic buttonholing as a new standard-of-care: rationale, technique, advantages, and special indications

  • By

  • Rupert Menapace

  • June 12, 2026

  • 0 min

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  • 1

    Primary posterior optic buttonholing (POBH) effectively prevents retro-optical opacification by redirecting lens epithelial cells.

  • 2

    In a study of 1000 POBH cases, retro-optical opacification was eradicated and capsular fibrosis significantly reduced.

  • 3

    POBH provides immediate refractive and rotational stability without increasing risks of retinal detachment or macular edema.

  • 4

    The procedure is compatible with various open-loop intraocular lens models and avoids issues associated with dysphotopsia.

  • 5

    POBH may replace in-the-bag IOL implantation as the standard of care due to its safety, effectiveness, and cost efficiency.

Original Source(s)

Primary posterior optic buttonholing as a new standard-of-care: rationale, technique, advantages, and special indications

  • by Rupert Menapace

  • June 12, 2026

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