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Updated: Apr 2, 2026

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

Brian M DeBroff1, Howard V Gimbel2

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

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|April 1, 2026
PubMed
Summary

Optic capture techniques allow intraocular lens (IOL) fixation and centering, even without an intact capsular bag. This review covers 35 years of evolving IOL optic capture methods for improved lens stability.

Keywords:
IOL captureIOL fixationdouble optic captureoptic captureposterior capsulorhexisposterior capsulorhexis with optic capturereverse optic capture

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Area of Science:

  • Ophthalmology
  • Surgical Techniques
  • Intraocular Lens Technology

Background:

  • Capsular bag integrity is crucial for intraocular lens (IOL) stability.
  • Traditional IOL fixation relies on an intact capsular bag.
  • Limitations exist when the capsular bag is compromised or absent.

Purpose of the Study:

  • To review the evolution of optic capture techniques for IOL fixation.
  • To highlight the versatility of optic capture in various capsular scenarios.
  • To discuss advancements in IOL fixation over the past 35 years.

Main Methods:

  • Review of historical and current optic capture techniques.
  • Analysis of IOL fixation and centration using optic capture.
  • Examination of applications in anterior, posterior, and dual-capsule fixation.

Main Results:

  • Optic capture enables secure IOL fixation and centration.
  • Effective even with compromised or absent capsular bags.
  • Applicable to anterior, posterior, and combined anterior-posterior capsule fixation.

Conclusions:

  • Optic capture represents a significant advancement in IOL fixation.
  • Offers reliable solutions for IOL centration and stability.
  • Demonstrates adaptability across diverse clinical situations over 35 years.