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Title	Bag-in-the-lens during combined surgery for vitreoretinal disease: a window forever clear for patient and his physician
Abstract Nr.	2076

Purpose	To assess the clinical outcomes and complication of bag-in-the-lens intraocular lens (BIL-IOL) implantation during combined cataract surgery and 23 Gauge transconjunctival sutureless vitrectomy (TSV-23) for vitreoretinal disease.
Methods	All patients had undergone combined cataract surgery and TSV-23 with BIL-IOL implantation by one single surgeon, they were recruited retrospectively from the electronic database from 2013–2017, and their data analyzed. In this cohort, there were 79 males, 48 females; average was 67 years-old (max 89 yo-min 36 yo); 17% (22/127) cases suffer diabetes mellitus (DM); 10% (13/127) cases hypertension arteriosus systemic. There were 37 cases of retinal detachment (RD), 64 of epiretinal membrane (ERM), 13 idiopathic macular hole (IMH), 13 of vitreous hemorrhage.
Results	The best corrected visual acuity (BCVA) was 0,6±0,6 logMar preoperatively and 0,3±0,6 logMar postoperatively. There were 6 cases of BIL IOL luxation, the 5%. Posterior capsule opacification (PCO) did not occur in any adult eye during the follow-up. No fibrosis or synechie were present in the post operatory period.
Conclusion	The use of BIL-IOL during combined cataract surgery and TSV-23 was safe and efficacy, no eye developed PCO over a mean follow-up of 6±5,8 months. In addition, the BIL-IOL remained clear and improved the quality of clinical follow-up of this complex patients.
Conflict of interest	No

Authors 1

Last name	MICHEZ
Initials	M
Department	Department of Ophthalmology Chirec
City	Brussels

Authors 2

Last name	Bali
Initials	E
Department	Department of Ophthalmology Chirec
City	Brussels

Authors 3

Last name	Baronissi
Initials	I
Department	Eye Clinic, Department of Neurosciences, University of Naples Federico II
City	Naples

Authors 4

Last name	Tassignon
Initials	MJ
Department	Faculty of Medicine and Health Sciences, Ophthalmology, UZA
City	Anvers

Authors 5

Last name	Nì Dhughbhaill
Initials	S
Department	Faculty of Medicine and Health Sciences, Ophthalmology, UZA
City	Anvers

Authors 6

Last name	Haider
Initials	H
Department	Department of Ophthalmology Chirec
City	Brussels