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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.

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