In this presentation, Dr. Nicole Fram reviews the surgical management of dead bag syndrome. She discusses the qualities of a "dead bag" and delayed intraocular lens (IOL) subluxation and offers her top 5 surgical pearls:

• Don't insert rings and things to try to refixate the bag.
• Don't try reverse optic capture or optic capture.
• Don't place a secondary IOL in the sulcus, even with iris fixation.
• If you decide to try lasso fixation, use needle-fixation techniques to pierce the posterior and anterior capsules.
• Understand your plan A and plan B and secondary IOL fixation of choice.