Accidental Corneal Intrastromal Intraocular Lens Implantation During Cataract Surgery: A Case Report

OpenAlex İngilizce

Purpose To report an unusual but important complication of routine cataract surgery, accidental intrastromal intraocular lens (IOL) implantation. Methods During cataract surgery in a 66-year-old man, the IOL was delivered into the intrastromal space of the cornea accidentally. The lens was removed immediately and carefully by enlarging the corneal tunnel. Results Anterior segment optical coherence topography (AS-OCT) was used for postoperative follow-up of the patient, which showed a viscoelastic substance in the stroma of the cornea that was washed out. Ther patient's final visual acuity was 20/20. Conclusions A uniplanar corneal incision with wound-assisted IOL insertion can lead to intrastromal IOL injection. If a cataract surgeon encounters such a complication, AS-OCT could be a useful imaging technique for follow-up. [ Journal of Refractive Surgery Case Reports . 2024;4(4):e36–e39.]