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Bag-in-the-lens technique.

Shervine Ameli1,2,3, Iva Krolo1,2,3, Silke Oellerich1,2,3

  • 1Department of Ophthalmology, Universitair Ziekenhuis Brussel, Jette, Belgium.

Frontiers in Ophthalmology
|May 25, 2026
PubMed
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The bag-in-the-lens (BIL) surgical technique improves intraocular lens (IOL) centration using dual capsulorhexis. This method enhances visual outcomes and prevents visual axis opacification by capturing residual lens cells.

Area of Science:

  • Ophthalmology
  • Surgical Techniques
  • Intraocular Lenses

Background:

  • Optimal intraocular lens (IOL) centration is crucial for achieving desired visual outcomes.
  • The bag-in-the-lens (BIL) approach offers a novel surgical technique for enhanced IOL placement.

Purpose of the Study:

  • To provide an overview of the current literature on the bag-in-the-lens (BIL) surgical technique.
  • To highlight the advantages of the BIL approach in optimizing IOL centration and visual axis clarity.

Main Methods:

  • The BIL technique utilizes a monofocal hydrophilic IOL with a biconvex optic and elliptical haptics.
  • Dual anterior and posterior capsulorhexis are employed to center the IOL within an equatorial groove.
  • The technique captures residual lens epithelial cells, securing the IOL position.
Keywords:
BILbag-in-the-lenscataract surgeryintraocular lensoptic captureposterior capsulorhexis

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Last Updated: May 26, 2026

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Main Results:

  • The BIL approach ensures superior IOL centration compared to conventional methods.
  • Capture of lens epithelial cells effectively seals the IOL position, preventing visual axis opacification.
  • The described technique leads to improved visual performance and reduced complications.

Conclusions:

  • The bag-in-the-lens (BIL) technique is an effective method for achieving optimal IOL centration.
  • This surgical approach offers significant benefits for visual outcomes and long-term IOL stability.
  • Further literature supports the BIL technique as a valuable advancement in cataract surgery.