© 2019

Innovative Implantation Technique

Bag-in-the-Lens Cataract Surgery

  • Marie-José Tassignon
  • Sorcha Ní Dhubhghaill
  • Luc Van Os

Table of contents

  1. Front Matter
    Pages i-vi
  2. Why Use the BIL?

    1. Front Matter
      Pages 1-1
    2. Marie-José Tassignon
      Pages 3-11
    3. Sorcha Ní Dhubhghaill
      Pages 13-16
    4. Marie-José Tassignon
      Pages 25-32
  3. BIL Cataract Surgery

    1. Front Matter
      Pages 43-43
    2. Laure Gobin, Sorcha Ní Dhubhghaill, Marie-José Tassignon
      Pages 45-60
    3. Richard Packard
      Pages 61-75
    4. Sorcha Ní Dhubhghaill, Luc Van Os
      Pages 77-82
    5. Sorcha Ní Dhubhghaill
      Pages 83-89
    6. Sorcha Ní Dhubhghaill
      Pages 91-95
    7. Sorcha Ní Dhubhghaill
      Pages 97-102
    8. Luc Van Os
      Pages 103-110
    9. Sorcha Ní Dhubhghaill, Clare Quigley
      Pages 111-115
    10. H. Burkhard Dick, Tim Schultz, Ronald D. Gerste
      Pages 117-131
  4. Complex Cases

    1. Front Matter
      Pages 133-133
    2. Luc Van Os
      Pages 135-141
    3. Christian Billotte
      Pages 143-152

About this book


This book provides a complete overview of the bag-in-the-lens implantation technique written by the pioneering force herself. The technique first developed for the adults and later for paediatrics has had overwhelmingly positive outcomes in reduction of posterior capsular opacification and stability. Nowadays, it is used as a primary approach in all patients with cataract. The initial version of the bag-in-the-lens implant is a monofocal spherical hydrophilic intraocular lens comprised of a 5mm bi-convex optic with two elliptical plane haptics. Bag-in-the-Lens Cataract Surgery guides through the steps required to achieve successful implantation in a concise and highly illustrated format to portray how to effectively perform this surgery. The toric version was launched in 2009 and the diffractive version is on its way.

New and experienced ophthalmic surgeons will find this guide to be an indispensable resource for utilizing this technique to successfully treat adult and paediatric cataract patients in their daily clinical practice. 


Intra-Ocular Lens Implantation Technique Toric Bean Rings Berger Space Posterior Capsule Opacification

Editors and affiliations

  • Marie-José Tassignon
    • 1
  • Sorcha Ní Dhubhghaill
    • 2
  • Luc Van Os
    • 3
  1. 1.Department of OphthalmologyAntwerp University, University HospitalEdegemBelgium
  2. 2.Department of OphthalmologyAntwerp University, University HospitalEdegemBelgium
  3. 3.Department of OphthalmologyAntwerp University, University HospitalEdegemBelgium

About the editors

Marie-José Tassignon, MD, PhD was appointed Chief of the Department of Ophthalmology of the Antwerp University Hospital and Chair of the Department of Ophthalmology of the Faculty of Medicine of the University of Antwerp in 1991. In 2007, Dr. Tassignon became Medical Director of the Antwerp University Hospital. She has been Full Professor at the University of Antwerp since 2003.

Prof Tassignon was President of the European Society of Cataract and Refractive Surgeons from 2004 until 2007 and President of the European Board of Ophthalmology from 2007 until 2008. She is a member of 18 international societies in ophthalmology and a board member for 5 of the societies. She was elected Chair “L” of the International Academy of Ophthalmology in 2007 and was elected Chair “V” of the European Academy of Ophthalmology in 2008. She became a member of the Royal Academy of Medicine of Belgium in 2009. She is president of the prestigious Academia Ophthalmologica Internationalis (2018-2022).

Prof Tassignon has had seven patents approved. New patent applications are in the pipeline to improve surgical techniques in vitreous pathologies and patient outcomes suffering from floaters.  Prof Tassignon is author/co-author of 248 publications and 23 chapters in 21 books. She is also involved in international ophthalmological congresses and in a few of them she acts as a Board Member.  Prof Tassignon is an international renowned ophthalmologist  and has received many global awards in recognition of her contribution in the international ophthalmological field. Unlike many other departments of ophthalmology, Tassignon has attracted engineers, physicists and paramedical researchers to complement the medical staff at the Antwerp Department of Ophthalmology.

As an ophthalmic surgeon, Prof Tassignon is dedicated to patients from all age ranges. In 2004 and 2008 she operated on King Albert II of Belgium successfully for a cataract in respectively his right and left eye. She used her patented technique, Bag-in-the Lens implantation that avoids posterior capsule opacity (which is the main complication after cataract surgery).

Sorcha Ni Dhubhghaill received her undergraduate degree and PhD from the Trinity College Dublin before her residency training in the Royal Victoria Eye and Ear Hospital and St Vincent’s Hospital in Dublin. During her training she was awarded the Duke Elder prize for ophthalmology, the Edna Walls Research medal for ophthalmology. She is currently a consultant cataract and cornea surgeon in both the University Hospital of Antwerp and the Netherlands Institute for Innovative Ophthalmic Surgery and is also the Principal Investigator for a Horizon 2020 grant in limbal stem cell therapy. Her current research focus is Bag-in-the-lens cataract surgery and corneal stem cells and endothelial transplantations.

Luc Van Os, MD, has been consultant surgeon in the Antwerp University Hospital since 2013  and trained in the same center. His main focus areas are uveitis, cataract, and pediatric cataract. He has been performing bag-in-the-lens cataract surgery since the very beginning of his surgical career, thus considering this technique as a standard technique for intraocular lens implantation in cataract treatment.

Bibliographic information

  • Book Title Innovative Implantation Technique
  • Book Subtitle Bag-in-the-Lens Cataract Surgery
  • Editors Marie-José Tassignon
    Sorcha Ní Dhubhghaill
    Luc Van Os
  • DOI
  • Copyright Information Springer Nature Switzerland AG 2019
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Hardcover ISBN 978-3-030-03085-8
  • eBook ISBN 978-3-030-03086-5
  • Edition Number 1
  • Number of Pages VI, 225
  • Number of Illustrations 11 b/w illustrations, 145 illustrations in colour
  • Topics Ophthalmology
  • Buy this book on publisher's site
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