Advertisement

Advantages of the Bag-in-the-Lens Implant

  • Sorcha Ní Dhubhghaill
Chapter

Abstract

A new surgical technique, such as the bag-in-the-lens (BIL) technique, presents a new learning curve to the surgeon, and the risks and potential benefits of this should be considered. In this chapter we describe the benefits of taking on the learning curve. While the BIL requires additional surgical steps, namely, a primary posterior continuous curvilinear capsulorhexis, it does confer the benefits of PCO prevention, rhexis phimosis prevention, improved centration, improved rotational stability and exchangeability. These advantages make the lens a good option for paediatric and adult cataract cases alike.

Keywords

Bag-in-the-lens PPCCC PCO prevention Rhexis phimosis prevention Centration Rotational stability Paediatric cataract Adult cataract Refractive surprise 

References

  1. 1.
    Tassignon MI. Morcher GmbH, assignee. Intraocular lens and method for preventing secondary opacification. US patent 6 027 351 2000.Google Scholar
  2. 2.
    Tassignon M, De Veuster I, Godts D, Kosec D, Van den Dooren K, Gobin L. Bag-in-the-lens intraocular lens implantation in the pediatric eye. J Cataract Refract Surg. 2007;33:611–7.CrossRefGoogle Scholar
  3. 3.
    Tassignon M, Gobin L, Mathysen D, Van Looveren J, De Groot V. Clinical outcomes of cataract surgery after bag-in-the-lens intraocular lens implantation following ISO standard 11979-7:2006. J Cataract Refract Surg. 2011;37:2120–9.CrossRefGoogle Scholar
  4. 4.
    Leysen I, Coeckelbergh T, Gobin L, Smet H, Daniel Y, DeGroot V, Tassignon MJ. Cumulative neodymium:YAG laser rates after bag-in-the-lens and lens-in-the-bag intraocular lens implantation: comparative study. J Cataract Refract Surg. 2006;32:2085–90.CrossRefGoogle Scholar
  5. 5.
    Davison JA. Capsule contraction syndrome. J Cataract Refract Surg. 1993;19:582–9.CrossRefGoogle Scholar
  6. 6.
    Verbruggen K, Rozema JJ, Gobin L, Coeckelbergh T, DeGroot V, Tassignon MJ. Intraocular lens centration and visual outcomes after bag-in-the-lens implantation. J Cataract Refract Surg. 2007;33:1267–72.CrossRefGoogle Scholar
  7. 7.
    Tassignon M, Gobin L. Toric bag-in-the-lens implant: why and how to implant. Exp Rev Ophthalmol. 2010;5:135–41.CrossRefGoogle Scholar
  8. 8.
    Gobin L, Tassignon MJ, Mathysen D. Spherotoric bag-in-the-lens intraocular lens: power calculation and predictive misalignment nomogram. J Cataract Refract Surg. 2011;37:1020–30.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Sorcha Ní Dhubhghaill
    • 1
  1. 1.Department of OphthalmologyAntwerp University, University HospitalEdegemBelgium

Personalised recommendations