# Immediate Postoperative Decentration of a Biologic Corneal Inlay Managed With Tomography‐Guided Repositioning: A Case Report

## TL;DR

A case report describes how tomography-guided repositioning corrected a biologic corneal inlay's immediate postoperative decentration to restore visual quality.

## Contribution

The novel approach of using real-time tomography and same-day flap relifting to correct inlay decentration is presented.

## Key findings

- Immediate postoperative decentration of a biologic corneal inlay can be subtle and hard to detect clinically.
- Tomography-guided repositioning effectively restores centration and preserves visual quality.
- Same-day flap relifting is a safe and effective strategy for correcting decentration.

## Abstract

Biologic corneal inlays can rarely present with immediate postoperative decentration, which can be subtle and difficult to detect clinically. Real‐time tomography allows precise early diagnosis, while same‐day flap relifting and careful repositioning provide a safe, effective strategy to restore centration and preserve visual quality.

Immediate postoperative Pentacam corneal tomography revealing inferior‐temporal decentration of the biologic corneal inlay on the axial curvature map.