Marie-José Tassignon - Innovative Implantation Technique: Bag-in-the-Lens Cataract Surgery

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Editors

Marie-Jos Tassignon , Sorcha N Dhubhghaill and Luc Van Os

Innovative Implantation Technique Bag-in-the-Lens Cataract Surgery

Editors

Marie-Jos Tassignon

Department of Ophthalmology, Antwerp University, University Hospital, Edegem, Belgium

Sorcha N Dhubhghaill

Department of Ophthalmology, Antwerp University, University Hospital, Edegem, Belgium

Luc Van Os

Department of Ophthalmology, Antwerp University, University Hospital, Edegem, Belgium

ISBN 978-3-030-03085-8 e-ISBN 978-3-030-03086-5

https://doi.org/10.1007/978-3-030-03086-5

Library of Congress Control Number: 2018968144

Springer Nature Switzerland AG 2019

This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed.

The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.

The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This Springer imprint is published by the registered company Springer Nature Switzerland AG

The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Contents

Part IWhy Use the BIL?

Marie-Jos Tassignon

Sorcha N Dhubhghaill

Liliana Werner

Marie-Jos Tassignon

Marie-Jos Tassignon

Part IIBIL Cataract Surgery

Laure Gobin , Sorcha N Dhubhghaill and Marie-Jos Tassignon

Richard Packard

Sorcha N Dhubhghaill and Luc Van Os

Sorcha N Dhubhghaill

Sorcha N Dhubhghaill

Sorcha N Dhubhghaill

Luc Van Os

Sorcha N Dhubhghaill and Clare Quigley

H. Burkhard Dick , Tim Schultz and Ronald D. Gerste

Part IIIComplex Cases

Luc Van Os

Christian Billotte

Nils-Erik Boonstra

Anca Cristina Dogaroiu and Sorcha N Dhubhghaill

Tillmann P. Eckert

Ernesto Bali , Haroon Haider and Marie-Jos Tassignon

L. Lytvynchuk , D. Kuhn , M. Sander and B. Lorenz

L. Lytvynchuk and B. Lorenz

Part I Why Use the BIL?

Springer Nature Switzerland AG 2019

Marie-Jos Tassignon , Sorcha N Dhubhghaill and Luc Van Os (eds.) Innovative Implantation Technique https://doi.org/10.1007/978-3-030-03086-5_1

1. The History of the Bag-in-the-Lens Implant

Marie-Jos Tassignon

(1)

Department of Ophthalmology, Antwerp University, University Hospital, Edegem, Belgium

Marie-Jos Tassignon

Email:

Keywords

Bag-in-the-lens Historical context Postmortem centration ISO standard 11979-7:2006

1.1 Introduction

Back in 1999, I had the honor of meeting Sir Harold Ridley in Stockholm on the occasion of the European Society of Ophthalmology (SOE) meeting. He and his wife Elisabeth were guests of honor at the European Society meeting. I hoped to take advantage of this opportunity to discuss the concept of the bag-in-the-lens. Given that he was about 90 years of age, I realized that this was a mission impossible and felt satisfied with a picture in his company (Fig. ], the Ridley lens was clearly intended to be positioned within the capsular bag and to fill this bag as much as possible. However, I still had the question of why such funny edges were placed at the periphery of the lens optic. My idea was to make that edge longer and to extend it out from both the anterior and posterior surfaces of the lens optic. This would create a groove between the flanges that could accommodate both the anterior and posterior capsules.

Fig. 1.1

With Harold Ridley and his wife Elisabeth at SOE in Stockholm 1999

Fig. 1.2

Harold Ridleys first IOL design, manufactured by RaynerR, UK

David Apple, professor of ophthalmology and pathology at Moran Eye Center, Salt Lake City, Utah, USA, dedicated a lot of his time to writing a bibliography of Harold Ridley []. He traveled to England many times to meet Sir Harold Ridley, not just as a colleague but as a personal friend. He was eager to hear the master describe his account of the discovery of the intraocular lens that would revolutionize cataract surgery worldwide in person.

In Chap. ], Harold Ridley reported secondary cataract and lens decentration as modern cataract surgerys most common postoperative surgical complications. The quest to solve these problems with the bag-in-the-lens began there.

Charles Kelman was a dear friend and mentor to me. He supported me on my quest to write the patent on the bag-in-the-lens and invited me, every year, to be a speaker at the French Phaco courses, organized in New York. The aim of these French Phaco courses was to disseminate his message about the superiority of the phaco technique to the international community of French-speaking ophthalmologists in the USA. Charles Kelman spoke fluent French, since he spent many years in a French-speaking canton in Switzerland. He put me in contact with his attorney, who helped me in the administrative follow-up of the BIL patent which was issued in February 2000 [):

1. Opacification of the lens capsular bag, which was ultimately referred to as posterior capsule opacification or PCO

2. Loss of accommodation (interest in restoring accommodation became reality starting from the mid-1990s on)

Fig. 1.3

With Charles Kelman in New York, 1998

More than 40 years after the introduction of the first intraocular lens implantation and the advent of the phaco technique, PCO was still the most common complication after cataract surgery until Daniele Aron-Rosa [). Franz Fankhausers Q-switched Nd-YAG laser machine presented more treatment options than that of Aron-Rosa, and although I was not directly connected to him, he inspired me to use the laser to treat vitreal problems like premacular hemorrhages and floaters. The latter is now drawing a great deal of attention in ophthalmological practice, and while I will not elaborate on that topic here, I am of the opinion that floaters are very important in cataract surgery, particularly when using complex optics such as multifocal IOLs. The quality of the image, as perceived by the patient, will be influenced negatively by the presence of floaters.

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