Case report: Management of recurrent pupillary optic capture with sutureless surgical technique using 7–0 polypropylene flange

Abstract

BackgroundTo report a novel surgical technique for recurrent pupillary optic capture after flanged intraocular lens (IOL) fixation.MethodsIn this retrospective case series, we detail our use of two parallel 7–0 polypropylene sutures passed between the iris plane and the optic of scleral-fixated IOL to address pupillary optic capture. Flanges were created using ophthalmic cautery to secure it to the sclera without suture.ResultsTwo eyes with pupillary optic capture underwent a sutureless surgical technique using 7–0 polypropylene flanges. No recurrences of pupillary optic capture were observed during the 1-year follow-up.ConclusionOur sutureless surgical technique using a 7–0 polypropylene flange was an effective, efficient, and less invasive approach for treating recurrent pupillary optic capture.