Encyclopedia of Ophthalmology

Living Edition
| Editors: Ursula Schmidt-Erfurth, Thomas Kohnen

Posterior Optic Buttonholing

Living reference work entry
DOI: https://doi.org/10.1007/978-3-642-35951-4_363-2



Surgical technique during phacoemulsification for reduction of posterior capsule opacification.


No epidemiologic data available for this topic.


In 2006, Menapace introduced this technique to preserve full capsular transparency and to evaluate it as a potential routine alternative to standard in-the-bag implantations of sharp-edged optic intraocular lenses. It has also been used in cataract surgery with children to prevent aftercataract.

Clinical Features

See Treatment section below.


Thorough examination of the anterior segment with the slit-lamp gonioscopy, measurement of uncorrected and best spectacle-corrected visual acuity and intraocular pressure, and biometry are mandatory to maintain best possible postoperative results.

Differential Diagnosis

Other surgical techniques for reducing posterior capsule opacification ARE:
  • Anterior capsulorhexis fixation


See History section.


After topical anesthesia, standard...

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Further Reading

  1. Stifter E et al (2010) Posterior optic buttonholing prevents intraocular pressure peaks after cataract surgery with primary posterior capsulorhexis. Graefes Arch Clin Exp Ophthalmol 248:1595–1600CrossRefPubMedGoogle Scholar
  2. Menapace R (2006) Routine posterior optic buttonholing for eradication of posterior capsule opacification in adults. J Cataract Refract Surg 32:929–943CrossRefPubMedGoogle Scholar
  3. Hengerer F et al (2010) Posterior optic button holing (POBH): technique and surgical procedure. In: 21st International Congress of German ophthalmic surgeons 2010 in HamburgGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Department of OphthalmologyGoethe-University Frankfurt am MainFrankfurt/MainGermany