Bag-in-the-lens technique - Takeaways - MDSpire

Bag-in-the-lens technique

  • By

  • Shervine Ameli

  • Iva Krolo

  • Silke Oellerich

  • Luc Van Os

  • Marie-José Tassignon

  • Sorcha Ní Dhubhghaill

  • May 8, 2026

  • 0 min

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  • 1

    The bag-in-the-lens (BIL) technique optimizes intraocular lens (IOL) centration by utilizing both anterior and posterior capsulorhexis.

  • 2

    BIL IOL design features a biconvex optic and two elliptical haptics, creating an equatorial groove that captures residual lens epithelial cells.

  • 3

    This technique effectively prevents posterior capsular opacification (PCO), maintaining visual clarity and reducing the risk of complications.

  • 4

    The BIL method was introduced in 2002 by Tassignon and has been validated through experimental studies in both rabbit and human eyes.

  • 5

    Surgical success relies on precise capsulorhexis sizing and centration, with the BIL IOL providing enhanced stability postoperatively.

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