Reverse Optic Capture to Stabilize a Toric Intraocular Lens

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.