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Though rare, the newly described condition called “dead bag syndrome” is one that ophthalmologists may see more of in the future, as people are living longer. Ophthalmologist Samuel Masket, MD, first described the condition as a late dislocation of an intraocular lens (IOL) in a capsule that has remained clear after cataract surgery but has become diaphanous and floppy. Cataracts are treated by surgically removing the eye’s clouded lens and replacing it with an artificial lens or intraocular implant (IOL). IOLs rely on something called lens epithelial cells to secure their position in the eye after cataract surgery. In dead bag syndrome these special cells are rare or completely absent, which can lead to the IOL becoming dislocated. A dislocated IOL can make it harder to see clearly. Dislocations can also cause retinal detachment, bleeding, inflammation, and macular or corneal edema. It’s unknown why this happens, but the current hypothesized etiologies include capsule degradation/delamination in areas of cellular attachment leading to dislocation. Risk factors have not been identified; however, predisposing conditions are pseudoexfoliation and other conditions associated with progressive zonular weakening. Ophthalmologists are advised to manage these cases on a case-by-case basis, depending on presentation and the status of the zonular support. Link in bio for full video. Thanks to Dr. Masket and colleagues!
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