Dr. PANDEY SURESH KUMAR

, Dr.Vidushi Sharma

Abstract

Primary piggyback IOL implantation provides adequate IOL power in patients with small eyes and/or extreme hyperopia. Secondary piggyback IOL implantation is helpful in pseudophakic patients for the correction of residual refractive error. Pseudophakic supplementary IOLs such as the Sulcoflex are now available for secondary piggyback IOL implantation. Combination of monofocal, toric, and/or multifocal IOL implantation in a piggyback manner is a viable and useful option for eyes that require very high IOL powers. In this video, the authors elaborate an overview the fundamentals of piggyback IOL implantation, including the indications, techniques, and complications associated with this under-utilized procedure.