title: Bean-shaped ring segments for capsule stretching and centration of bag-in-the-lens cataract surgery.
abstract: The bag-in-the-lens (BIL) is a unique approach to IOL placement in cataract surgery. The BIL intraocular lens (IOL) is suspended centrally, supported by the anterior and posterior capsulorhexes. The placement confers a high degree of centration and stability; however, it is dependent on capsular and zonular integrity. In this report, we describe a patient with posttraumatic cataract featuring a sector of iris and suspensory zonule loss. The insertion of custom-designed bean-shaped segments provides capsular tension over the area of defect and a central aperture designed to support the BIL IOL.
authors.affiliation: From the Department of Ophthalmology (Tassignon, Ní Dhubhghaill), Antwerp University Hospital, Edegem, and the Department of Medicine (Tassignon), Antwerp University, Wilrijk, Belgium. Electronic address: marie-jose.tassignon@uza.be.
authors.forename: Marie-José
authors.initials: MJ
authors.lastname: Tassignon
authors.affiliation: From the Department of Ophthalmology (Tassignon, Ní Dhubhghaill), Antwerp University Hospital, Edegem, and the Department of Medicine (Tassignon), Antwerp University, Wilrijk, Belgium.
authors.forename: Sorcha Ní
authors.initials: SN
authors.lastname: Dhubhghaill
mesh_terms: D000368:Aged; D019923:Capsulorhexis / Q000295:instrumentation*; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000295:instrumentation / Q000379:methods*; D008297:Male; D019904:Polymethyl Methacrylate; D019736:Prostheses and Implants
chemical_list: D019904:Polymethyl Methacrylate