Surgical dilemma in pediatric cataract surgery: A bag-in-the-lens versus lens-in-the-bag study
M Peneau1, S Nieuwjaer2, T Haurogne1
1Department of Ophthalmology, Bretonneau University Hospital, Tours, France.
Purpose:
This study aimed to compare the outcomes between the bag-in-the-lens (BIL) and the lens-in-the-bag (LIB) techniques for cataract surgery in children.
Materials And Methods:
This retrospective study was conducted between 2003 and 2024. All children who underwent cataract surgery with intraocular lens implantation with a minimum follow-up duration of one year were included in two groups according to the technique used: LIB and BIL. The primary outcome measure was the occurrence of amblyogenic visual axis opacification.
Results:
A total of 64 eyes were included in the BIL group and 50 eyes in the LIB group. Visual axis opacification was found in 9.4% of eyes in the BIL group compared to 30% in the LIB group (P=0.01). The rate of all-cause surgical reinterventions was also lower in the BIL group (17.1%) compared to the LIB group (38%) (P<0.01). The final visual acuity was measured at 0.4 LogMAR for the BIL group versus 0.6 LogMAR for the LIB group (P=0.08).
Conclusion:
The rate of surgical reinterventions, particularly for visual axis opacification, was significantly lower with the BIL technique, with no detrimental effect on visual outcomes.
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