Titlebook: Innovative Implantation Technique; Bag-in-the-Lens Cata Marie-José Tassignon,Sorcha Ní Dhubhghaill,Luc Van Book 2019 Springer Nature Switze

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The BIL Anterior CapsulorhexisA correctly sized and centered anterior continuous curvilinear capsulorhexis is essential for implantation of a BIL implant. This chapter describes the use of the caliper ring and the Eye Cage device and Purkinje images to obtain proper sizing and centration of the anterior rhexis.

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The Posterior CapsulorhexisThe BIL implant is the only lens that requires a primary posterior continuous curvilinear capsulorhexis (PPCCC) for implantation. In this chapter, a standardized approach to creating a PPCCC is described in detail.

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BIL Lens InsertionThe positioning of the BIL implant differs from that of classic in-the-bag implants..This chapter illustrates the insertion and positioning of the lens with OVD while keeping the anterior hyaloid face intact and untouched.

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Toric BIL ImplantationPatients with corneal astigmatism can benefit greatly from correction of this astigmatism on the lenticular plane through a toric IOL. This chapter focuses on the particularities concerning implantation of the toric BIL implant.

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The BIL Exchange TechniqueIn cases with refractive surprise or in the rare occurrence of optic opacification, a previously implanted BIL implant can necessitate an exchange. Due to the very limited contact between the IOL and the capsule, this is relatively easy to perform for a BIL implant. The technique to exchange one BIL for another is explained in this chapter.

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The Small PupilGood pupillary dilation is important to enable a safe surgical procedure when performing cataract surgery, especially when using the bag-in-the-lens technique. In this chapter, specific preoperative and intraoperative measures and techniques are provided to deal with small pupils.

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Marie-José Tassignon,Sorcha Ní Dhubhghaill,Luc VanProvides step-by-step guidance for performing the BIL IOL technique.Highlights all aspects of the BIL IOL procedure including clinical pearls and pitfalls.Edited by the pioneer of the procedure, with