Pupillary capture of the IOL is an early complication of transscleral suture-fixated IOLs. Recurrence might be prevented with miotic agents, which has a relatively low success rate, or laser iridotomy, which is not always successful.

We describe a simple surgical technique to manage pupillary capture after previous transscleral fixation of an intraocular lens. Financial Disclosure: method mentioned.

Pupillary capture is an unusual complication of posterior chamber intraocular lens implantation and may occur in the early or late postoperative period. We describe a series of patients with early or late onset pupillary capture and describe the pathogenesis.

In this prospective interventional case series, we describe a tram-track suture for pupillary capture of a scleral fixated PC-IOL. A long straight needle with double-armed 10-0 polypropylene is passed behind the iris and just above the optic portion (tilted forward) of the IOL.

On ophthalmologic examination, pupillary capture by intraocular lens, shallow anterior chamber, corneal edema and elevated intraocular pressure despite maximum medical therapy was observed. A 55-years-old female presented with pain in the right eye for 15 days.

Jan 8, 2017 · Pupillary capture of an IOL is an uncommon but potentially serious postoperative complication of transscleral fixation, with the reported possible causes of capsular capture including asymmetric IOL fixation, synechias, and the anterior position of the uniplanar IOL optic.

Reposition of the optic after pupillary capture of a scleral fixated PC IOL can be successfully performed in the office without discomfort or significant complications and is an alternative management option to a return to the operating room.

Mar 19, 2025 · Pupillary capture can cause complications after intrascleral intraocular lens (IOL) fixation; however, no method has been established to definitively prevent pupillary capture.

Purpose: To report the incidence, pathogenesis, and management of pupillary capture after combined phacoemulsification with intraocular lens (IOL) implantation and vitreoretinal surgery. Setting: Oxford Eye Hospital, The Radcliffe Infirmary, Oxford, United Kingdom.

We describe a pupilloplasty procedure to prevent a captive iris and to narrow the pupillary aperture and its associated complications.