AUTHOR=Kim Dong Hyeon , Moon Da Ru Chi , Kang Yong Koo , Park Dong Ho , Shin Jae Pil , Kim Dai Woo , Do Jae Rock TITLE=Case report: Management of recurrent pupillary optic capture with sutureless surgical technique using 7–0 polypropylene flange JOURNAL=Frontiers in Medicine VOLUME=11 YEAR=2024 URL=https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2024.1367905 DOI=10.3389/fmed.2024.1367905 ISSN=2296-858X ABSTRACT=Background

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

Methods

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.

Results

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.

Conclusion

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