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Case Reports
. 2013 Sep 26;4(3):138-43.
doi: 10.1159/000355415. eCollection 2013.

Reverse optic capture to stabilize a toric intraocular lens

Howard V Gimbel  1 , Anika Amritanand
Affiliations
Case Reports

Reverse optic capture to stabilize a toric intraocular lens

Howard V Gimbel et al. Case Rep Ophthalmol. .

Abstract

Purpose: To describe a technique for stabilizing a rotationally unstable toric intraocular lens (IOL).

Method: Case report and literature review.

Results: Surgical technique and long-term follow-up for a patient who underwent repositioning and stabilization of a mobile 1-piece acrylic toric IOL using reverse optic capture (ROC) are described. This patient presented with early, more than 70° off-axis rotation. The IOL was repositioned but was very mobile within the bag and tended to rotate off-axis; hence, it was stabilized in the desired position by capturing the optic through the anterior continuous curvilinear capsulorhexis, leaving the haptics in the bag. The immediate and 2-year postoperative follow-up revealed a stable and on-axis IOL with no visual, refractive or ocular complications.

Conclusions: ROC is a useful and safe technique to address the problem of toric IOLs that tend to rotate at the time of surgery or are not stable postoperatively.

Keywords: Reverse optic capture; Rotation; Toric intraocular lens.

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Figures

Fig. 1
Fig. 1
OPD-Scan refractive power/corneal analyzer system printout shows internal astigmatism due to rotated toric IOL in the left eye.
Fig. 2
Fig. 2
Slit lamp image on the first postoperative day shows ROC in the left eye.
See this image and copyright information in PMC

References

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