title: Tram-Track Suture Technique for Pupillary Capture of a Scleral Fixated Intraocular Lens.
abstract: OBJECTIVE
  To report a new technique using tram-track suture for pupillary capture of a scleral fixated posterior chamber intraocular lens (PC-IOL) to reposition the tilted IOL.
  
  
  METHODS
  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. The other straight needle with double-armed 10-0 polypropylene is passed just below the optic portion (tilted backward) of the IOL. After the IOL is repositioned properly, the polypropylene sutures are gently pulled and tied.
  
  
  RESULTS
  Four eyes of 4 patients underwent tram-track suture for pupillary capture of a scleral fixated PC-IOL. No intra- or postoperative complications were noted, and no pupillary captures were detected during the follow-up period.
  
  
  CONCLUSIONS
  The tram-track suture technique provides good centration and stability of a PC-IOL. This technique is an easy and effective way to reposition pupillary capture of an IOL. Further, it is also minimally invasive as it maintains a closed system.
authors.affiliation: Department of Ophthalmology, Saevit Eye Hospital, Goyang, Korea, Republic of.
authors.forename: Sung In
authors.initials: SI
authors.lastname: Kim
authors.affiliation: Department of Ophthalmology, Saevit Eye Hospital, Goyang, Korea, Republic of.
authors.forename: Kiseok
authors.initials: K
authors.lastname: Kim
keywords: Intraocular lens; Pupillary capture; Tram-track suture