{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T21:39:12Z","timestamp":1773265152682,"version":"3.50.1"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Ophthalmol."],"abstract":"<jats:p>Reverse optic capture (ROC) is a surgical technique in which the optic of an intraocular lens (IOL) is positioned anterior to the anterior capsulotomy opening, while the haptics remain within the capsular bag. Described originally as a method to secure fixation in cases of posterior capsular rupture, ROC has since evolved as a surgical maneuver to address fixation of an IOL in the setting of a not-intact posterior capsule, toric IOL rotation, treatment of negative dysphotopsia, and correction of unanticipated postoperative hyperopia. This review highlights the development, indications, and outcomes of ROC, as well as its advantages, limitations, and future directions. Additionally, we present a case of ROC utilized to treat negative dysphotopsia. As surgical techniques and IOL technologies continues to evolve, further prospective investigation will help clarify the role of ROC in achieving stable and predictable outcomes in complex cataract and refractive surgery.<\/jats:p>","DOI":"10.3389\/fopht.2026.1760370","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T05:35:13Z","timestamp":1773207313000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Reverse optic capture in cataract surgery: techniques, indications, and outcomes"],"prefix":"10.3389","volume":"6","author":[{"given":"Eric W.","family":"Lai","sequence":"first","affiliation":[{"name":"Department of Ophthalmology and Visual Science, Yale School of Medicine","place":["New Haven, CT, United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Henick","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Science, Yale School of Medicine","place":["New Haven, CT, United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Debroff","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Science, Yale School of Medicine","place":["New Haven, CT, United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1097\/00055735-199402000-00007","article-title":"Techniques and instruments for cataract surgery","volume":"5","author":"Koch","year":"1994","journal-title":"Curr Opin Ophthalmol"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2020.09.026","article-title":"Multifocal and extended depth-of-focus intraocular lenses in 2020","volume":"128","author":"Rampat","year":"2021","journal-title":"Ophthalmology"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1444-0938.2010.00516.x","article-title":"Complications of cataract surgery","volume":"93","author":"Chan","year":"2010","journal-title":"Clin Exp Optom"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-021-01571-5","article-title":"Scleral-fixated intraocular lens implants-evolution of surgical techniques and future developments","volume":"35","author":"Shahid","year":"2021","journal-title":"Eye (Lond)"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2003.11.035","article-title":"Intraocular lens optic capture","volume":"30","author":"Gimbel","year":"2004","journal-title":"J Cataract Refract Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1186\/s12886-018-0741-2","article-title":"Capture of intraocular lens optic by residual capsular opening in secondary implantation: long-term follow-up","volume":"18","author":"Tian","year":"2018","journal-title":"BMC Ophthalmol"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.3928\/15428877-20120830-02","article-title":"Reverse optic capture of the single-piece acrylic intraocular lens in eyes with posterior capsule rupture","volume":"43","author":"Jones","year":"2012","journal-title":"Ophthalmic Surg Lasers Imaging"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.4103\/njcp.njcp_272_20","article-title":"Visual outcome following posterior capsule rupture during manual small incision cataract surgery","volume":"24","author":"Oladigbolu","year":"2021","journal-title":"Niger J Clin Pract"},{"key":"B9","doi-asserted-by":"publisher","first-page":"101150","DOI":"10.1016\/j.preteyeres.2022.101150","article-title":"Secondary outcomes of lens and cataract surgery: More than just \u201cbest-corrected visual acuity","volume":"95","author":"Hecht","year":"2023","journal-title":"Prog Retin Eye Res"},{"key":"B10","article-title":"Anterior capsular support for posterior chamber intraocular lenses following vitreous loss in endocapsular surgery","volume":"41","author":"Jacob","year":"1993","journal-title":"Indian J Ophthalmol"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1007\/s00347-021-01432-2","article-title":"Fixation of an intraocular lens using reverse optic capture with haptic tuck for intraoperative posterior capsule rupture","volume":"118","author":"Khoramnia","year":"2021","journal-title":"Ophthalmologe"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1159\/000355415","article-title":"Reverse optic capture to stabilize a toric intraocular lens","volume":"4","author":"Gimbel","year":"2013","journal-title":"Case Rep Ophthalmol"},{"key":"B13","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1097\/j.jcrs.0000000000001585","article-title":"Assessing postoperative toric intraocular lens rotation: comparative analysis","volume":"51","author":"Lisy","year":"2025","journal-title":"J Cataract Refract Surg"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0000000000000447","article-title":"Dysphotopsia: a multifaceted optic phenomenon","volume":"29","author":"Hu","year":"2018","journal-title":"Curr Opin Ophthalmol"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2014.11.041","article-title":"Primary reverse optic capture with implantation of capsular tension ring to prevent pseudophakic negative dysphotopsia","volume":"41","author":"Narang","year":"2015","journal-title":"J Cataract Refract Surg"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2020.08.009","article-title":"Pseudophakic dysphotopsia: review of incidence, cause, and treatment of positive and negative dysphotopsia","volume":"128","author":"Masket","year":"2021","journal-title":"Ophthalmology"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2009.08.014","article-title":"Multifocal intraocular lens optic anteriorization capture to correct residual refractive error","volume":"35","author":"Akaishi","year":"2009","journal-title":"J Cataract Refract Surg"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2020.03.005","article-title":"Intraocular lens implantation in the absence of zonular support: an outcomes and safety update: A report by the american academy of ophthalmology","volume":"127","author":"Shen","year":"2020","journal-title":"Ophthalmology"},{"key":"B19","article-title":"Treatment of anterior megalophthalmos cataract with reverse optic capture intraocular lens implantation: a case report","volume":"59","author":"Liu","year":"2023","journal-title":"Zhonghua Yan Ke Za Zhi"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2018.09.026","article-title":"Haptic tuck for reverse optic capture of a single-piece acrylic toric or other single-piece acrylic intraocular lenses","volume":"45","author":"Gimbel","year":"2019","journal-title":"J Cataract Refract Surg"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000000752","article-title":"Femtosecond laser-assisted intraocular lens exchange","volume":"47","author":"Fram","year":"2021","journal-title":"J Cataract Refract Surg"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2011.04.022","article-title":"Femtosecond laser capsulotomy","volume":"37","author":"Friedman","year":"2011","journal-title":"J Cataract Refract Surg"},{"key":"B23","doi-asserted-by":"publisher","first-page":"2186","DOI":"10.1016\/S0161-6420(01)00716-3","article-title":"Intraoperative management of posterior capsule tears in phacoemulsification and intraocular lens implantation","volume":"108","author":"Gimbel","year":"2001","journal-title":"Ophthalmology"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2012.12.034","article-title":"Effect of anterior capsulorhexis optic capture of a sulcus-fixated intraocular lens on refractive outcomes","volume":"39","author":"Millar","year":"2013","journal-title":"J Cataract Refract Surg"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.1080\/08820538.2019.1652761","article-title":"Outcomes of using sutureless, scleral-fixated posterior chamber intraocular lenses","volume":"34","author":"Kansal","year":"2019","journal-title":"Semin Ophthalmol"},{"key":"B26","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1186\/s12886-024-03743-9","article-title":"Rapid posterior capsular opacification in two patients treated for negative dysphotopsias","volume":"24","author":"Navia","year":"2024","journal-title":"BMC Ophthalmol"}],"container-title":["Frontiers in Ophthalmology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fopht.2026.1760370\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T05:35:14Z","timestamp":1773207314000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fopht.2026.1760370\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,11]]},"references-count":26,"alternative-id":["10.3389\/fopht.2026.1760370"],"URL":"https:\/\/doi.org\/10.3389\/fopht.2026.1760370","relation":{},"ISSN":["2674-0826"],"issn-type":[{"value":"2674-0826","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,11]]},"article-number":"1760370"}}