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INTRAOCULAR LENS IMBRICATION FOR RECURRENT PUPILLARY CAPTURE AFTER SUTURELESS INTRASCLERAL FIXATION

Supplemental Digital Content is Available in the Text. We demonstrate a novel surgical technique to address persistent postoperative pupillary capture in a patient who underwent sutureless scleral intraocular fixation. The intraocular lens is imbricated with a suture to prevent reverse pupillary block and subsequent intraocular lens capture and to stabilize the anterior–posterior movement of the intraocular lens. Purpose: To demonstrate a novel surgical technique (intraocular lens imbrication) for persistent postoperative pupillary capture after sutureless scleral intraocular lens fixation. Methods: Case report and supplemental digital content demonstrating salient steps of a novel surgical technique. Results: The patient did not suffer any further episodes of pupillary capture after intraocular lens imbrication with aforementioned surgical technique five months after the procedure. Postoperative best-corrected visual acuities were 20/40 in both eyes. Conclusion: Intraocular lens imbrication is an effective method to address persistent postoperative pupillary capture after sutureless scleral intraocular lens fixation.