Short-term outcomes of sulcus placed intraocular lens with optic capture in eyes with compromised capsular bag

Abstract

Objectives: The aim of the study was to evaluate outcomes of sulcus placement of the intraocular lens (IOL) with optic capture in complicated case scenarios with compromised capsular bags. Materials and Methods: Records of 31 patients (31 eyes) who had received implantation of IOL in the sulcus with optic capture as a primary or secondary procedure were retrospectively reviewed. The optic was captured in the capsulorhexis or remainder capsular opening while the haptics were placed in the sulcus. Primary outcome measures were the post-operative stability and centration of IOL, evaluated using slit-lamp examination and photography. Indications for optic capture and post-operative improvement in corrected distance visual acuity (CDVA) were also noted. Results: Optic capture was well maintained and IOL well-centred with haptics secured in the sulcus in all patients at 1 month. Posterior capsular rupture during primary cataract surgery was the most common indication, followed by decentred IOL as a secondary procedure. CDVA improved from log MAR 0.9 ± 0.43 at baseline to log MAR 0.23 ± 0.15 at 1-month post-operative. Conclusion: Optic capture is a safe and effective technique to achieve good IOL stability, centration, and visual acuity.