Bag-in-the-Lens Implant Technique in Children Evaluated

Results of bag-in-the-lens intraocular lens (IOL) implant in children were presented by Christian Billotte, MD, of Centre Hospitalier University de Caen in France, during the American Society of Cataract and Refractive Surgery’s 2018 annual meeting in Washington, DC. 

51 participants with congenital cataracts underwent the procedure between 2008 and 2015. The technique involves anterior and posterior capsulorhexis centered and sized from 4.5 to 5mm, with margins of the rhexis in the peripheral groove surrounding the optic. Investigators found: 

• Implantation was successful in 90% of eyes. 
• 2 early dislocations occurred; 1 was replaced and the other exchanged. 
• There was no late posterior dislocation. 
• Posterior capsular opacification occurred at 4 years in 1 patient.

Billotte C. Bag-in-the-lens IOL implantation in pediatric cataract surgery: Nine-year experience. Talk presented at: 2018 ASCRS-ASOA Annual Meeting; April 13-17, 2018; Washington, DC.