title: Assessment of the bag-in-the-lens implantation technique in diabetic patients.
abstract: Cataract is a common condition observed in patients with diabetes mellitus frequently requiring surgical intervention. The bag-in-the-lens (BIL) intraocular implant is an alternative approach to standard lens-in-the-bag cataract surgery. The lens is supported by anterior and posterior capsulorhexes, which confers a number of advantages in terms of lens centration, rotational stability and prevention of posterior capsular opacity. The purpose of this report is to describe the results of BIL cataract surgery in a retrospective cohort of diabetic patients. Fifty-four cases of BIL surgery are included with a follow-up period of 1 year. Visual acuity outcomes were comparable to previously published standard lens-in-the-bag procedures. There were no reports of posterior capsular opacification and the grade of diabetic retinopathy remained stable. Three cases of clinically significant macular edema were detected over the follow-up period. We conclude that the BIL implantation technique is an advantageous approach to treating cataract in the diabetic population.
authors.affiliation: Department of Ophthalmology, Antwerp University Hospital, Antwerp, Belgium. noemie.lauwers@uza.be
authors.forename: Noémie
authors.initials: N
authors.lastname: Lauwers
authors.forename: Sorcha
authors.initials: S
authors.lastname: Ní Dhubhghaill
authors.forename: Danny G P
authors.initials: DG
authors.lastname: Mathysen
authors.forename: Marie-José
authors.initials: MJ
authors.lastname: Tassignon
mesh_terms: D000368:Aged; D019923:Capsulorhexis / Q000379:methods*; D002386:Cataract / Q000209:etiology*; D048909:Diabetes Complications / Q000150:complications* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D011474:Prosthesis Design; D012189:Retrospective Studies; D014792:Visual Acuity