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Posterior capsular opacification with the bag-in-the-lens implantation technique: a 4 years follow up retrospective study

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Session Details

Session Title: PCO. Cataract Surgery Complications/Management

Session Date/Time: Tuesday 08/09/2015 | 08:00-10:30

Paper Time: 08:12

Venue: Room 1

First Author: : C.Billotte FRANCE

Co Author(s): :    M. Barcatali   A. Lux   G. Eva   E. Denion           

Abstract Details


To evaluate the PCO rate with Bag in The Lens (BIL) implantation with a long follow up, and to evaluate possible associated complications of this new technique in cataract surgery.


University Hospital of Caen, ambulatory cataract surgery unit, Misericorde Fundation of Caen,France


BIL IOL implantation is realized using a 5 mm centered and calibrated anterior and posterior capsulorhexis. The Berger space is inflated with viscoelastic, pushing backwards the intact anterior face of the vitreous. The edge of the two capsulorhexis are inserted in the peripheral groove of the IOL (MORCHER 89A). All patients who underwent BIL cataract surgery in 2009 and 2010 were recalled and 139 were rewiewed and included in this retrospective study. Each patient had slit lamp evaluation of the transparency of the visual axis. Complications like retinal detachment (RD), cystoïd macular oedema (CME), infection, dislocation, reintervention, were checked.


No case of PCO was observed. The whole posterior surface of the 5 mm IOL optic remains clear, and perfectly free of epithelial cells or fibrosis. Very few proliferation of cells was observed in the peripheral equatorial space of the sealed capsules. One RD(0.7%) occurred and was successfully operated. No case of clinical CME, no endophtalmitis, no dislocation were observed. One case of partial iris capture in the groove of the IOL occured, and was surgically easily replaced.


In our experience, the Bag in The Lens way of implantation in cataract surgery, leads to the eradication of PCO. All the posterior area of 5mm diameter behind the IOL optic always remained clear. In addition very few postoperative complications occurred , especially retinal (0.7%). The stability of the IOL was assured in any case in this study. The lack of capsular bag fibrosis reaction, the very low level of inflammatory reactions, ensure the lack of displacement or tilting of the lens. No YAG capsulotomy is needed.

Financial Interest:


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