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Intraocular lens optic capture: a fixture for over 35 years.

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Surgical treatment of a unilateral congenital cataract with persistent hyperplastic primary vitreous using double optic capture with a 20 year follow-up and review of the literature.

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Double optic capture: a historical review.

Brian M DeBroff1

  • 1Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, CT, United States.

Frontiers in Ophthalmology
|December 25, 2025
PubMed
Summary
This summary is machine-generated.

Double optic capture is a surgical technique for intraocular lens (IOL) implantation that reduces secondary capsule opacity and improves lens centration. Modifications are discussed for pediatric and adult cataract surgery, with future potential for routine use.

Keywords:
capsular bag fusiondouble optic capturepediatric cataract surgeryposterior capsulorhexisposterior capsulorhexis with optic captureposterior optic buttonholing

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Area of Science:

  • Ophthalmology
  • Surgical Techniques
  • Cataract Surgery

Background:

  • Secondary capsule opacity and membrane formation are common complications after intraocular lens (IOL) implantation.
  • Maintaining optimal IOL centration is crucial for visual outcomes.
  • Existing techniques may not fully prevent posterior capsule opacity.

Purpose of the Study:

  • To describe the surgical technique of double optic capture for IOL implantation.
  • To present modifications of the double optic capture technique for pediatric and adult cataract surgery.
  • To discuss the potential of double optic capture in preventing posterior capsule opacity in routine adult cataract surgery.

Main Methods:

  • The double optic capture technique involves capturing the IOL optic through both anterior and posterior capsular openings.
  • Surgical modifications for pediatric and adult cases are detailed.
  • The discussion includes future applications and potential benefits.

Main Results:

  • The double optic capture technique aims to reduce secondary capsule opacity and membrane formation.
  • This method facilitates precise IOL centration.
  • Modified techniques are applicable to different patient populations.

Conclusions:

  • Double optic capture is a viable technique for improving outcomes in IOL implantation.
  • Surgical modifications enhance its applicability in pediatric and adult cataract surgery.
  • Further investigation into its routine use for preventing posterior capsule opacity is warranted.