Dead bag syndrome, a clinical entity involving late-onset intraocular lens (IOL) subluxation with an unusually clear and floppy capsular bag, has gained recognition in ophthalmology, prompting reevaluation of late IOL subluxation management. We present a case of a 53-year-old male with diplopia in the left eye, four years post-uncomplicated cataract surgery and IOL implantation. Examination revealed bilateral IOL subluxation within dilated, transparent capsular bags. The patient underwent IOL suspension in the left eye, and subsequent pathological analysis identified the absence of lens epithelial cells and basement membrane splitting. This report provides comprehensive clinical, surgical, and histopathological insights into bilateral dead bag syndrome, exploring potential mechanisms of its pathogenesis. Further research is essential to clarify the underlying cause and improve management of this rare complication.
Li et al. (Tue,) studied this question.