Dr.PAVITRA PATEL

Dr. NITIN BALAKRISHNAN, Dr.Nikhil Balakrishnan

Abstract

Purpose: To highlight the outcomes of a novel technique of reverse optic capture(ROC) for improved rotational stability of toric IOL.

Methods: This was a prospective interventional study of 25 patients with axial length >27 mm undergoing cataract surgery with toric IOL implantation. To overcome the challenges of rotational stability in such cases despite implantation of a capsular tension ring (CTR); we propose a reverse optic capture. After successful implantation of the toric IOL,the optics are brought out of the bag while haptics still in the bag. Rotational stability was checked clinically on the slit lamp after pharmacological mydriasis as well as on the verion image guided system.

Results: 24 of the 25 patients showed rotation of less than 3 degrees at 1 month post operative(p<0.05). Mean CDVA was 6/6 in all 25 patients (p<0.00). Conclusion: ROC can be successfully used for patients with axial lengths more than 27mm with immaculate rotational stability.

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