Case Report: Management of Recurrent Pupillary Optic Capture with Sutureless Surgical Technique Using 7-0 Polypropylene Flange

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.