This book provides a complete overview of the bag-in-the-lens implantation technique written by the pioneering force herself. The technique first developed for the adults and later for paediatrics has had overwhelmingly positive outcomes in reduction of posterior capsular opacification and stability. Nowadays, it is used as a primary approach in all patients with cataract. The initial version of the bag-in-the-lens implant is a monofocal spherical hydrophilic intraocular lens comprised of a 5mm bi-convex optic with two elliptical plane haptics. Bag-in-the-Lens Cataract Surgery guides through the steps required to achieve successful implantation in a concise and highly illustrated format to portray how to effectively perform this surgery. The toric version was launched in 2009 and the diffractive version is on its way.

New and experienced ophthalmic surgeons will find this guide to be an indispensable resource for utilizing this technique to successfully treat adult and paediatric cataract patients in their daily clinical practice. 

Part I: Why use the BIL?

The History of the Bag-in-the-lens Implant
Advantages of the Bag-in-the-lens Implant
Histopathological Aspects of Bag-in-the-lens Implantation
The history of the anterior interface
Clinical Variations of the Vitreo-Lenticular Interface
Part II: BIL Cataract Surgery
Technical specifications of the Bag-in-the-Lens implant
The evolution of the anterior capsulotomy
The BIL Anterior Capsulorhexis
The Posterior Capsulorhexis
Lens preparation and folding
BIL Lens insertion
Toric BIL implantation
The BIL exchange technique
Femtosecond Bag-in-the-lens Cataract Surgery
Part III: Complex Cases
The Small Pupil
BIL in patients with uveitis
Zonulolysis and lens luxation
Scleral Anchoring of the Modified Bean-Shaped Ring Segments
Combined BIL and vitrectomy
IOL dislocation and the Diving BIL
Preparing Pediatric Cataract Patients for BIL Cataract Surgery
Giessen results after BIL in the pediatric population.