Intracorneal implantation of a misdirected foldable intraocular lens during phacoemulsification surgery: a case report Implantação intracorneana de uma lente intraocular dobrável direcionada incorretamente durante cirurgia de facoemulsificação: relato de caso

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Toker M. I., BOZALİ E., Unal M., Ozec A. V., ERDOĞAN H.

Arquivos Brasileiros de Oftalmologia, vol.87, no.2, 2024 (SCI-Expanded, Scopus) identifier identifier identifier

  • Publication Type: Article / Letter
  • Volume: 87 Issue: 2
  • Publication Date: 2024
  • Doi Number: 10.5935/0004-2749.2021-0093
  • Journal Name: Arquivos Brasileiros de Oftalmologia
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, EMBASE, Veterinary Science Database
  • Keywords: Cataract, Lens implantation, intraocular, Lenses, intraocular, Phacoemulsification, Visual acuity, Wound healing
  • Open Archive Collection: AVESIS Open Access Collection
  • Akdeniz University Affiliated: Yes

Abstract

A 59-year-old man presented with a unilateral blurring of vision in his left eye. His left eye’s visual acuity was hand movements level. He underwent phacoemulsification surgery, and an intrastromal posterior chamber intraocular lens was implanted. The intrastromal intraocular lens was extracted and a new intraocular lens was implanted. Usinge the Snellen chart, the final best-corrected visual acuity was 20/40. With this case report, we wish to emphasize that a single stepwise clear corneal incision merged with wound-assisted intraocular lens injections can result in intraocular lens misdirection into the corneal stroma. As a result, while performing a misdirected intraocular lens removal, we recommend that the wound be carefully constructed.