Incision capsular bag herniation during subluxated lens surgery: mechanisms, management, and prevention.

ABSTRACT:

Purpose

To investigate the mechanism, intraoperative characteristics, management, and prevention of incision capsular bag herniation (ICBH), a previously unreported complication during cataract surgery in eyes with lens subluxation.

Methods

A retrospective observational case series was conducted on five male patients who developed ICBH during phacoemulsification with intraocular lens (IOL) implantation between January 2019 and December 2024. Among 867 subluxated-lens surgeries performed during this period, the estimated incidence of ICBH was 0.58%. Clinical data was reviewed to identify predisposing factors and outcomes. Each case was managed through a stepwise intraoperative process consisting of IOP reduction, capsular decompression, capsular bag repositioning, and anterio

SUBMITTER: Ni S 

PROVIDER: S-EPMC12415041 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature