title: Reverse optic capture of the single-piece acrylic intraocular lens in eyes with posterior capsule rupture.
abstract: OBJECTIVE
  To evaluate the clinical results of reverse optic capture (ROC) with single-piece posterior chamber intraocular lenses (PC-IOLs) in cases of phacoemulsification cataract and IOL surgery with posterior capsular rupture.
  
  
  METHODS
  Preoperative diagnosis, intraoperative events, surgical parameters, intraoperative and postoperative complications, and preoperative and postoperative visual acuity and refraction of 16 eyes that underwent ROC were reviewed and analyzed. The fellow eye of 12 patients undergoing uneventful phacoemulsification without optic capture served as the control group.
  
  
  RESULTS
  Over a mean of 19 months' follow-up, 94% of eyes in the ROC group and 92% in the control group achieved a best-corrected visual acuity of 20/25 or better. Ninety-four percent of eyes in the ROC group and 100% in the control group had postoperative spherical equivalent ± 1.00 D of the intended refraction. Refraction was stable between 1 month and final follow-up in both groups. In all eyes with ROC, the IOL remained well centered with a securely captured optic. There were no vision-threatening complications throughout the follow-up.
  
  
  CONCLUSIONS
  The comparable outcomes in both groups suggests that optic capture of a single-piece acrylic IOL through an anterior capsulorhexis merits consideration for IOL placement in selected cases of insufficient posterior capsule support.
authors.affiliation: Jones Eye Clinic and Surgery Center, Sioux City, Iowa, USA.
authors.forename: Jason J
authors.initials: JJ
authors.lastname: Jones
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Oetting
authors.forename: Gina M
authors.initials: GM
authors.lastname: Rogers
authors.forename: George J C
authors.initials: GJ
authors.lastname: Jin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D059035:Perioperative Period; D057851:Posterior Capsular Rupture, Ocular / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies; D014792:Visual Acuity / Q000502:physiology