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

TL;DR

A new sutureless surgical method using 7–0 polypropylene flanges effectively treats recurring pupillary optic capture in eye patients.

Contribution

A novel sutureless surgical technique using 7–0 polypropylene flanges to manage recurrent pupillary optic capture is introduced.

Findings

Two eyes treated with the sutureless technique showed no recurrence of pupillary optic capture over one year.

The technique uses cautery to secure flanges to the sclera without sutures, reducing invasiveness.

Abstract

To report a novel surgical technique for recurrent pupillary optic capture after flanged intraocular lens (IOL) fixation.

In 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.

Two 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.

Our sutureless surgical technique using a 7–0 polypropylene flange was an effective, efficient, and less invasive approach for treating recurrent pupillary optic capture.

Figures