Abstract
Purpose: :
To describe clinical and post-mortem results after bag-in-the-lens (BIL) implantation which lens offers a centration not capsular based but surgeon-controlled.
Methods: :
The BIL implantation technique is primarily designed to avoid PCO but in addition includes a very important surgical degree of freedom consisting in the alignment of the BIL using the Purkinje reflexes of the light sources of the surgical microscope (surgical axis of alignment).
Results: :
Based on the very encouraging clinical and post-mortem images (MRI and histology) a new surgical device is proposed to help the surgeon to improve the centration by centering a caliper ring, used for the sizing of the anterior capsulorhexis, along the first Purkinje reflexes of the light sources of the microscope.
Conclusions: :
Surgeon-controlled BIL centration is a new approach of IOL centration which method of centration aims at optimizing patient’s quality of vision, more specifically when implementing toric, aspherical or multifocal correction in the IOL optic.
Keywords: intraocular lens • anterior segment • treatment outcomes of cataract surgery