Femtosecond laser–assisted technique for performing bag-in-the-lens intraocular lens implantation

We describe a technique for femtosecond laser–assisted bag-in-the-lens (BIL) intraocular lens (IOL) implantation. Anterior capsulotomy and lens division into small pieces are performed by the laser. A fluid-filled interface makes it possible to re-dock the laser to the eye for posterior capsulotomy after the eye has been opened for lens aspiration without complications. The integrated optical coherence tomography also visualizes the posterior capsule, allowing a centered central posterior capsulotomy for uncomplicated IOL positioning. In 31 patients, no complications were observed within a 1-month follow-up. Femtosecond laser–assisted cataract surgery facilitated the BIL technique. Financial Disclosure Drs. Dick and Culbertson are members of the medical advisory board of Optimedica Corp. No other author has a financial or proprietary interest in any material or method mentioned.