title: Reverse optic capture to stabilize a toric intraocular lens.
abstract: OBJECTIVE
  To describe a technique for stabilizing a rotationally unstable toric intraocular lens (IOL).
  
  
  METHODS
  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.
authors.affiliation: Gimbel Eye Centre, Calgary, Alta., Canada ; Loma Linda University, Loma Linda, Calif., USA.
authors.forename: Howard V
authors.initials: HV
authors.lastname: Gimbel
authors.forename: Anika
authors.initials: A
authors.lastname: Amritanand
keywords: Reverse optic capture; Rotation; Toric intraocular lens