IMPLANTS FOR SHORT EYES

background of the bil

The Bag-In-the-Lens was initially designed and patented as “intraocular lens

and method for preventing secondary opacification”.

US Patent Number 6,027,531

EP Patent Number 0916320A2

The clinical study on the Bag-In-the-Lens started in 2000 after approval by

the ethics committee of the Antwerp University Hospital (1/47/136) and
got the approval of the Belgian Social Security in 2004.

OPHTHALMIC IMPLANTS
FOR SHORT EYES
how to become a bil-user

Those surgeons who are interested to implant the BIL can become certified after having performed the following training:

1. Wetlab and instructional course at the Annual ESCRS meeting on PPCCC, which is a prerequisite course to be allowed at the wetlab.

2. Observership at the Antwerp University Hospital, Department Ophthalmology

Director Prof. Dr. Marie-José Tassignon

Faculty BIL users Prof. Dr. Marie-José Tassignon, Prof. Dr. Veva De Groot, Dr. Jan Van Looveren,
Dr. Stefan Kiekens, Dr. Sorcha Ní Dhubhghaill

Scientific coordinator Danny Mathysen

3. Observership at any centers with certified instructors

MORCHER® GmbH
Kapuzinerweg 12
70374 Stuttgart

V2018-01 / BAR
GERMANY

Phone +49 (0) 711 / 95 320 - 0 E-Mail info@morcher.com

Fax +49 (0) 711 / 95 320 - 80 Web www.morcher.com
 O in
P C
No l field! FOLDABLE HYDROPHILIC IOLS SPECIAL PMMA IOL CAPSULAR RINGS
a
visu

BAG IN THE LENS SERIES MICROPHTHALMUS CAPSULAR TENSION RING CIONNI RING FOR SCLERAL FIXATION
TYPE 89A TYPE 89A TORIC TYPE 89D TYPE 27D TYPE 13S TYPE 1S
Indication Adults Adults For short eyes (< 18.0 mm) Total Diameter 12.0 mm Size (open) 10.5 mm 10.66 mm
Pediatrics Pediatrics and /or small white to white Optic Diameter 5.0 mm Size (compressed) 9.0 mm 8.5 mm
< 10.0 mm
Position Capsular Bag Zonular Damage up to 4 hours (120°) > 4 hours (120°)
Total Diameter 7.5 mm 7.5 mm 6.5 mm
Haptic C-Loop | 6° Bulbus Length < 24.0 mm < 24.0 mm
Optic Diameter 5.0 mm 5.0 mm 4.5 mm
Standard Diopter Range 10.0 – 30.0 D (0.5 inc.) ACCC* 2
- 6.0 mm
Standard Diopter Range 10.0 – 30.0 D (0.5 inc.) 10.0 – 30.0 D (0.5 inc.) 10.0 – 30.0 D (0.5 inc.)
On Request Diopter Range*1 5.0 – 9.5 D (0.5 inc.) Suturable arms - one
On Request Diopter Range*1 8.5 – 9.5 D (0.5 inc.) 8.5 – 9.5 D (0.5 inc.) 8.5 – 9.5 D (0.5 inc.) 30.5 – 75.0 D (0.5 inc.) Injector (recommendation) GEUDER G-32960, EYE TECHNOLOGY I-9006 Cannot be implanted with an injector!
30.5 – 35.0 D (0.5 inc.) 30.5 – 35.0 D (0.5 inc.)
Theoretical Standard Diopter 22.0 D Material CLEAR PMMA
Cylindrical Power - 0.5 – 8.0 D (0.5 inc.) -
Theoretical A-Con. (optical) 118.7 Fixation - We recommend the use of 9-0 double armed
Theoretical Standard Diopter 23.0 D
Theoretical ACD (optical) 5.37 mm prolene sutures with spatula needles
Theoretical A-Con. (optical) 118.2
Material PMMA
Theoretical ACD (optical) 5.08 mm
Filter UV-Filter Advantages ■ expands and stabilizes the capsular bag ■ expands and stabilizes the capsular bag
Material Hydrophilic Acrylic
Refractive Index 1.49 ■ distributes the pressure to all zonular fibers ■ distributes the pressure to all zonular fibers
Water Content 28.0 %
Incision > 5.0 mm and prevents one-sided pressure to single and prevents one-sided pressure to single
Filter UV-Filter zonular fibers zonular fibers
Refractive Index 1.46 ■ centers the IOL in a better way, subsequent ■ centers the IOL in a better way, subsequent
Injector (recommendation) Up to + 23.0 diopters: Medicel ACCUJECT TM 2.2-BL (LP604535) with a later capsular bag shrinkage with a later capsular bag shrinkage
Wound assisted injection: 1.9 – 2.2 mm, Wound injection: 2.2 mm
■ diminishes the risk of capsular bag or zonular ■ diminishes the risk of capsular bag or zonular
For all diopters: Medicel ACCUJECT TM 2.6-BL (LP604505) damage during the surgery damage during the surgery
Wound assisted injection: 2.2 mm, Wound injection: 2.6 mm
■ facilitates phacoemulsification, cortical ■ facilitates phacoemulsification, cortical
Recommended TYPE 5 TYPE 5 TYPE 4L aspiration and IOL implantation aspiration and IOL implantation
Caliper Ring*3 for ACCC*2 TYPE 4L (PED)
■ replaces the need for a scleral IOL ■ replaces the need for a scleral IOL
Note Surgeons must partake in prerequiste course before implantation!
■ simplifies IOL explantation ■ simplifies IOL explantation
Security Advice Due to the possibility of iris capture it is recommended to keep the iris in miosis
for three days after surgery! ■ reduces folds of the capsule ■ reduces folds of the capsule
■ the capsular tension rings have eyelets at ■ a secure alternative to capsule supporting hooks
both ends to facilitate insertion ■ the ring have eyelets at both ends to facilitate
Advantages ■ no postoperative stimuli
insertion
■ no synechiae
■ no PCO in the visual field (ideal IOL for diabetics)
■ full pupil range
■ no negativ dysphotopsia
*1 Other D on request │ *2 Anterior Continuous Curvolinear Capsulorhexis │ *3 Gauge for Capsulorhexis
 IMPLANTS FOR SHORT EYES

background of the bil

The Bag-In-the-Lens was initially designed and patented as “intraocular lens

and method for preventing secondary opacification”.

US Patent Number 6,027,531

EP Patent Number 0916320A2

The clinical study on the Bag-In-the-Lens started in 2000 after approval by

the ethics committee of the Antwerp University Hospital (1/47/136) and
got the approval of the Belgian Social Security in 2004.

OPHTHALMIC IMPLANTS
FOR SHORT EYES
how to become a bil-user

Those surgeons who are interested to implant the BIL can become certified after having performed the following training:

1. Wetlab and instructional course at the Annual ESCRS meeting on PPCCC, which is a prerequisite course to be allowed at the wetlab.

2. Observership at the Antwerp University Hospital, Department Ophthalmology

Director Prof. Dr. Marie-José Tassignon

Faculty BIL users Prof. Dr. Marie-José Tassignon, Prof. Dr. Veva De Groot, Dr. Jan Van Looveren,
Dr. Stefan Kiekens, Dr. Sorcha Ní Dhubhghaill

Scientific coordinator Danny Mathysen

3. Observership at any centers with certified instructors

MORCHER® GmbH
Kapuzinerweg 12
70374 Stuttgart

V2018-01 / BAR
GERMANY

Phone +49 (0) 711 / 95 320 - 0 E-Mail info@morcher.com

Fax +49 (0) 711 / 95 320 - 80 Web www.morcher.com
 O in
P C
No l field! FOLDABLE HYDROPHILIC IOLS SPECIAL PMMA IOL CAPSULAR RINGS
a
visu

BAG IN THE LENS SERIES MICROPHTHALMUS CAPSULAR TENSION RING CIONNI RING FOR SCLERAL FIXATION
TYPE 89A TYPE 89A TORIC TYPE 89D TYPE 27D TYPE 13S TYPE 1S
Indication Adults Adults For short eyes (< 18.0 mm) Total Diameter 12.0 mm Size (open) 10.5 mm 10.66 mm
Pediatrics Pediatrics and /or small white to white Optic Diameter 5.0 mm Size (compressed) 9.0 mm 8.5 mm
< 10.0 mm
Position Capsular Bag Zonular Damage up to 4 hours (120°) > 4 hours (120°)
Total Diameter 7.5 mm 7.5 mm 6.5 mm
Haptic C-Loop | 6° Bulbus Length < 24.0 mm < 24.0 mm
Optic Diameter 5.0 mm 5.0 mm 4.5 mm
Standard Diopter Range 10.0 – 30.0 D (0.5 inc.) ACCC* 2
- 6.0 mm
Standard Diopter Range 10.0 – 30.0 D (0.5 inc.) 10.0 – 30.0 D (0.5 inc.) 10.0 – 30.0 D (0.5 inc.)
On Request Diopter Range*1 5.0 – 9.5 D (0.5 inc.) Suturable arms - one
On Request Diopter Range*1 8.5 – 9.5 D (0.5 inc.) 8.5 – 9.5 D (0.5 inc.) 8.5 – 9.5 D (0.5 inc.) 30.5 – 75.0 D (0.5 inc.) Injector (recommendation) GEUDER G-32960, EYE TECHNOLOGY I-9006 Cannot be implanted with an injector!
30.5 – 35.0 D (0.5 inc.) 30.5 – 35.0 D (0.5 inc.)
Theoretical Standard Diopter 22.0 D Material CLEAR PMMA
Cylindrical Power - 0.5 – 8.0 D (0.5 inc.) -
Theoretical A-Con. (optical) 118.7 Fixation - We recommend the use of 9-0 double armed
Theoretical Standard Diopter 23.0 D
Theoretical ACD (optical) 5.37 mm prolene sutures with spatula needles
Theoretical A-Con. (optical) 118.2
Material PMMA
Theoretical ACD (optical) 5.08 mm
Filter UV-Filter Advantages ■ expands and stabilizes the capsular bag ■ expands and stabilizes the capsular bag
Material Hydrophilic Acrylic
Refractive Index 1.49 ■ distributes the pressure to all zonular fibers ■ distributes the pressure to all zonular fibers
Water Content 28.0 %
Incision > 5.0 mm and prevents one-sided pressure to single and prevents one-sided pressure to single
Filter UV-Filter zonular fibers zonular fibers
Refractive Index 1.46 ■ centers the IOL in a better way, subsequent ■ centers the IOL in a better way, subsequent
Injector (recommendation) Up to + 23.0 diopters: Medicel ACCUJECT TM 2.2-BL (LP604535) with a later capsular bag shrinkage with a later capsular bag shrinkage
Wound assisted injection: 1.9 – 2.2 mm, Wound injection: 2.2 mm
■ diminishes the risk of capsular bag or zonular ■ diminishes the risk of capsular bag or zonular
For all diopters: Medicel ACCUJECT TM 2.6-BL (LP604505) damage during the surgery damage during the surgery
Wound assisted injection: 2.2 mm, Wound injection: 2.6 mm
■ facilitates phacoemulsification, cortical ■ facilitates phacoemulsification, cortical
Recommended TYPE 5 TYPE 5 TYPE 4L aspiration and IOL implantation aspiration and IOL implantation
Caliper Ring*3 for ACCC*2 TYPE 4L (PED)
■ replaces the need for a scleral IOL ■ replaces the need for a scleral IOL
Note Surgeons must partake in prerequiste course before implantation!
■ simplifies IOL explantation ■ simplifies IOL explantation
Security Advice Due to the possibility of iris capture it is recommended to keep the iris in miosis
for three days after surgery! ■ reduces folds of the capsule ■ reduces folds of the capsule
■ the capsular tension rings have eyelets at ■ a secure alternative to capsule supporting hooks
both ends to facilitate insertion ■ the ring have eyelets at both ends to facilitate
Advantages ■ no postoperative stimuli
insertion
■ no synechiae
■ no PCO in the visual field (ideal IOL for diabetics)
■ full pupil range
■ no negativ dysphotopsia
*1 Other D on request │ *2 Anterior Continuous Curvolinear Capsulorhexis │ *3 Gauge for Capsulorhexis
 O in
P C
No l field! FOLDABLE HYDROPHILIC IOLS SPECIAL PMMA IOL CAPSULAR RINGS
a
visu

BAG IN THE LENS SERIES MICROPHTHALMUS CAPSULAR TENSION RING CIONNI RING FOR SCLERAL FIXATION
TYPE 89A TYPE 89A TORIC TYPE 89D TYPE 27D TYPE 13S TYPE 1S
Indication Adults Adults For short eyes (< 18.0 mm) Total Diameter 12.0 mm Size (open) 10.5 mm 10.66 mm
Pediatrics Pediatrics and /or small white to white Optic Diameter 5.0 mm Size (compressed) 9.0 mm 8.5 mm
< 10.0 mm
Position Capsular Bag Zonular Damage up to 4 hours (120°) > 4 hours (120°)
Total Diameter 7.5 mm 7.5 mm 6.5 mm
Haptic C-Loop | 6° Bulbus Length < 24.0 mm < 24.0 mm
Optic Diameter 5.0 mm 5.0 mm 4.5 mm
Standard Diopter Range 10.0 – 30.0 D (0.5 inc.) ACCC* 2
- 6.0 mm
Standard Diopter Range 10.0 – 30.0 D (0.5 inc.) 10.0 – 30.0 D (0.5 inc.) 10.0 – 30.0 D (0.5 inc.)
On Request Diopter Range*1 5.0 – 9.5 D (0.5 inc.) Suturable arms - one
On Request Diopter Range*1 8.5 – 9.5 D (0.5 inc.) 8.5 – 9.5 D (0.5 inc.) 8.5 – 9.5 D (0.5 inc.) 30.5 – 75.0 D (0.5 inc.) Injector (recommendation) GEUDER G-32960, EYE TECHNOLOGY I-9006 Cannot be implanted with an injector!
30.5 – 35.0 D (0.5 inc.) 30.5 – 35.0 D (0.5 inc.)
Theoretical Standard Diopter 22.0 D Material CLEAR PMMA
Cylindrical Power - 0.5 – 8.0 D (0.5 inc.) -
Theoretical A-Con. (optical) 118.7 Fixation - We recommend the use of 9-0 double armed
Theoretical Standard Diopter 23.0 D
Theoretical ACD (optical) 5.37 mm prolene sutures with spatula needles
Theoretical A-Con. (optical) 118.2
Material PMMA
Theoretical ACD (optical) 5.08 mm
Filter UV-Filter Advantages ■ expands and stabilizes the capsular bag ■ expands and stabilizes the capsular bag
Material Hydrophilic Acrylic
Refractive Index 1.49 ■ distributes the pressure to all zonular fibers ■ distributes the pressure to all zonular fibers
Water Content 28.0 %
Incision > 5.0 mm and prevents one-sided pressure to single and prevents one-sided pressure to single
Filter UV-Filter zonular fibers zonular fibers
Refractive Index 1.46 ■ centers the IOL in a better way, subsequent ■ centers the IOL in a better way, subsequent
Injector (recommendation) Up to + 23.0 diopters: Medicel ACCUJECT TM 2.2-BL (LP604535) with a later capsular bag shrinkage with a later capsular bag shrinkage
Wound assisted injection: 1.9 – 2.2 mm, Wound injection: 2.2 mm
■ diminishes the risk of capsular bag or zonular ■ diminishes the risk of capsular bag or zonular
For all diopters: Medicel ACCUJECT TM 2.6-BL (LP604505) damage during the surgery damage during the surgery
Wound assisted injection: 2.2 mm, Wound injection: 2.6 mm
■ facilitates phacoemulsification, cortical ■ facilitates phacoemulsification, cortical
Recommended TYPE 5 TYPE 5 TYPE 4L aspiration and IOL implantation aspiration and IOL implantation
Caliper Ring*3 for ACCC*2 TYPE 4L (PED)
■ replaces the need for a scleral IOL ■ replaces the need for a scleral IOL
Note Surgeons must partake in prerequiste course before implantation!
■ simplifies IOL explantation ■ simplifies IOL explantation
Security Advice Due to the possibility of iris capture it is recommended to keep the iris in miosis
for three days after surgery! ■ reduces folds of the capsule ■ reduces folds of the capsule
■ the capsular tension rings have eyelets at ■ a secure alternative to capsule supporting hooks
both ends to facilitate insertion ■ the ring have eyelets at both ends to facilitate
Advantages ■ no postoperative stimuli
insertion
■ no synechiae
■ no PCO in the visual field (ideal IOL for diabetics)
■ full pupil range
■ no negativ dysphotopsia
*1 Other D on request │ *2 Anterior Continuous Curvolinear Capsulorhexis │ *3 Gauge for Capsulorhexis
 IMPLANTS FOR SHORT EYES

background of the bil

The Bag-In-the-Lens was initially designed and patented as “intraocular lens

and method for preventing secondary opacification”.

US Patent Number 6,027,531

EP Patent Number 0916320A2

The clinical study on the Bag-In-the-Lens started in 2000 after approval by

the ethics committee of the Antwerp University Hospital (1/47/136) and
got the approval of the Belgian Social Security in 2004.

OPHTHALMIC IMPLANTS
FOR SHORT EYES
how to become a bil-user

Those surgeons who are interested to implant the BIL can become certified after having performed the following training:

1. Wetlab and instructional course at the Annual ESCRS meeting on PPCCC, which is a prerequisite course to be allowed at the wetlab.

2. Observership at the Antwerp University Hospital, Department Ophthalmology

Director Prof. Dr. Marie-José Tassignon

Faculty BIL users Prof. Dr. Marie-José Tassignon, Prof. Dr. Veva De Groot, Dr. Jan Van Looveren,
Dr. Stefan Kiekens, Dr. Sorcha Ní Dhubhghaill

Scientific coordinator Danny Mathysen

3. Observership at any centers with certified instructors

MORCHER® GmbH
Kapuzinerweg 12
70374 Stuttgart

V2018-01 / BAR
GERMANY

Phone +49 (0) 711 / 95 320 - 0 E-Mail info@morcher.com

Fax +49 (0) 711 / 95 320 - 80 Web www.morcher.com